Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Carolina › NPI 1659363158
Supplier

Clinical Medical Services INC

Clinical Medical Services INC was paid $2.46M by Medicaid between Apr 2018 and Dec 2024, across 94 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 16% of everything it billed.

33Billing provider infoCLINICAL MEDICAL SERVICES INC
CAROLINA, PR 00985
33aNPI1659363158assigned 08/19/2005
28Total paid$2.46M
24GClaims450,117
24DCodes billed94
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Puerto Rico

Rank by total paid#10 of 32
Median peer was paid$500K
This provider vs. median4.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20183,942$0.00
201921,307$17K
202036,672$71K
202155,725$84K
202295,134$221K
2023131,706$159K
2024incomplete105,631$1.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 16% 1,015 840 $386K
A4353 Intermittent urinary catheter, with insertion supplies 7.8% 1,749 1,532 $192K
E0601 Continuous positive airway pressure (cpap) device 7.6% 61,427 59,718 $187K
E0562 Humidifier, heated, used with positive airway pressure device 7.5% 63,522 61,640 $184K
E1392 Portable oxygen concentrator, rental 6.4% 6,622 5,957 $159K
E0607 Home blood glucose monitor 5.3% 1,907 1,665 $131K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 4.3% 48,848 47,717 $107K
A7030 Full face mask used with positive airway pressure device, each 4.2% 5,812 5,334 $103K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.5% 2,854 2,487 $86K
A6550 Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories 3.2% 934 673 $79K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 2.5% 5,098 4,641 $63K
S9494 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) 2.3% 460 239 $56K
82 more codes
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 2.1% 20,571 $50K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.9% 8,050 $46K
K0001 Standard wheelchair 1.7% 44,909 $43K
A4629 Tracheostomy care kit for established tracheostomy 1.6% 1,893 $39K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each 1.4% 1,678 $35K
A7037 Tubing used with positive airway pressure device 1.3% 9,590 $33K
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.3% 752 $32K
A4624 Tracheal suction catheter, any type other than closed system, each 1.2% 2,923 $31K
A7035 Headgear used with positive airway pressure device 1.1% 5,426 $27K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.0% 854 $25K
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) <1% 5,160 $24K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 7,293 $20K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,140 $18K
E2402 Negative pressure wound therapy electrical pump, stationary or portable <1% 1,093 $18K
A7526 Tracheostomy tube collar/holder, each <1% 983 $16K
E0277 Powered pressure-reducing air mattress <1% 1,042 $15K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width <1% 744 $15K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 13 $14K
A7000 Canister, disposable, used with suction pump, each <1% 3,102 $14K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,152 $13K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 5,739 $12K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 1,075 $12K
A7508 Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each <1% 747 $11K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each <1% 756 $11K
E0303 Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress <1% 2,615 $10K
A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each <1% 866 $10K
A7038 Filter, disposable, used with positive airway pressure device <1% 8,927 $9K
E0135 Walker, folding (pickup), adjustable or fixed height <1% 1,472 $8K
A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz. <1% 874 $8K
E0776 Iv pole <1% 6,143 $8K
A7039 Filter, non disposable, used with positive airway pressure device <1% 6,103 $7K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 18,213 $7K
B9002 Enteral nutrition infusion pump, any type <1% 5,906 $7K
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 7,966 $7K
E0163 Commode chair, mobile or stationary, with fixed arms <1% 1,009 $6K
K0006 Heavy duty wheelchair <1% 2,298 $6K
A4618 Breathing circuits <1% 861 $5K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 5,863 $5K
E0156 Seat attachment, walker <1% 523 $5K
A4927 Gloves, non-sterile, per 100 <1% 302 $4K
K0003 Lightweight wheelchair <1% 1,072 $4K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 15,037 $4K
A7036 Chinstrap used with positive airway pressure device <1% 1,706 $4K
A7002 Tubing, used with suction pump, each <1% 4,261 $3K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 301 $3K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 1,034 $3K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 2,177 $3K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 408 $3K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 160 $2K
E0935 Continuous passive motion exercise device for use on knee only <1% 28 $2K
B9998 Noc for enteral supplies <1% 42 $2K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 3,091 $1K
A4259 Lancets, per box of 100 <1% 5,549 $1K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each <1% 537 $1K
A4371 Ostomy skin barrier, powder, per oz <1% 1,535 $1K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 239 $1K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 405 $1K
A4367 Ostomy belt, each <1% 746 $1K
E0570 Nebulizer, with compressor <1% 6,252 $766.00
E0561 Humidifier, non-heated, used with positive airway pressure device <1% 1,204 $677.24
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce <1% 477 $543.96
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 551 $242.20
A4456 Adhesive remover, wipes, any type, each <1% 1,207 $145.55
A4452 Tape, waterproof, per 18 square inches <1% 1,040 $110.20
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 115 $104.28
E0439 Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing <1% 194 $85.10
K0007 Extra heavy duty wheelchair <1% 623 $56.59
A5120 Skin barrier, wipes or swabs, each <1% 846 $40.71
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each <1% 12 $39.88
E0434 Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing <1% 193 $17.46
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 427 $6.00
A4450 Tape, non-waterproof, per 18 square inches <1% 123 $5.40
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches 0% 19 $0.00
K0010 Standard - weight frame motorized/power wheelchair 0% 15 $0.00
E0272 Mattress, foam rubber 0% 12 $0.00
A4415 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each 0% 50 $0.00
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 0% 1,347 $0.00
E0442 Stationary oxygen contents, liquid, 1 month's supply = 1 unit 0% 86 $0.00
E0424 Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing 0% 66 $0.00
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds 0% 21 $0.00
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 0% 13 $0.00
E2367 Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each 0% 22 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMENDEZ, LINDA (CHIEF OPERATIONAL OFFICER)
Same official

Other billing entities under MENDEZ, LINDA

Full network →
ProviderLocationPaid
Integrated Home Care Services, INC.Miramar, FL$175.74M
Dade Medical, INC.Miramar, FL$33.97M
Southeast Homecare LLCDoral, FL$686K
Southeast Homecare LLCFort Lauderdale, FL$88K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.