Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › EL PASO › SAN LORENZO DURABLE MEDICAL EQUIPMENT LLC

SAN LORENZO DURABLE MEDICAL EQUIPMENT LLC

NPI: 1669182259 · EL PASO, TX 79924 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/05/2022

$7K
Total Medicaid Paid
324
Total Claims
320
Beneficiaries
2
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPORTILLO, MELISSA (ADMINISTRATOR)
NPI Enumeration Date12/05/2022

Related Entities

Other providers sharing the same authorized official: PORTILLO, MELISSA

ProviderCityStateTotal Paid
SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS LLC EL PASO TX $15.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 324 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 161 159 $6K
A4335 Incontinence supply; miscellaneous 163 161 $909.24