1669417051

1669417051 was paid $9.84M by Medicaid between Mar 2019 and Sep 2022, across 25 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 44% of everything it billed.

33Billing provider info1669417051

33aNPI1669417051

33bProvider type—

28Total paid$9.84M

24GClaims152,463

24DCodes billed25

24AFirst – last monthMar 2019 – Sep 2022

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2019	47,822	$2.96M
2020	92,179	$6.11M
2021	8,252	$529K
2022	4,210	$244K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	44%	39,815	19,482	$4.36M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	18%	1,899	889	$1.77M
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	8.0%	7,093	3,458	$785K
E0601	Continuous positive airway pressure (cpap) device	4.3%	7,474	3,613	$424K
E0444	Portable oxygen contents, liquid, 1 month's supply = 1 unit	4.1%	8,714	4,084	$405K
E0434	Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing	3.6%	19,202	6,204	$352K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	3.0%	15,814	7,671	$294K
E0443	Portable oxygen contents, gaseous, 1 month's supply = 1 unit	2.8%	5,954	2,911	$280K
E0562	Humidifier, heated, used with positive airway pressure device	2.2%	12,007	5,667	$215K
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)	1.8%	551	269	$181K
E0570	Nebulizer, with compressor	1.8%	16,309	7,433	$177K
A7030	Full face mask used with positive airway pressure device, each	1.3%	1,109	496	$123K

13 more codes

E1392	Portable oxygen concentrator, rental	1.0%	3,177	$101K
A7031	Face mask interface, replacement for full face mask, each	<1%	1,984	$82K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	898	$63K
A7032	Cushion for use on nasal mask interface, replacement only, each	<1%	891	$42K
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%	283	$37K
A7037	Tubing used with positive airway pressure device	<1%	1,497	$36K
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	<1%	914	$30K
A7035	Headgear used with positive airway pressure device	<1%	1,266	$27K
A7038	Filter, disposable, used with positive airway pressure device	<1%	4,135	$26K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	334	$13K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	800	$9K
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	259	$846.62
A7039	Filter, non disposable, used with positive airway pressure device	<1%	84	$591.30

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.