Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOULD'S DISCOUNT MEDICAL LLC

NPI: 1669417531 · LOUISVILLE, KY 40207 · Customized Equipment (DME) · NPI assigned 06/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$32.08M
Total Medicaid Paid
823,546
Total Claims
691,363
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
Parent OrganizationGOULD'S DISCOUNT MEDICAL LLC
NPI Enumeration Date06/17/2006

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,438 $2.76M
2019 101,123 $3.81M
2020 130,917 $4.68M
2021 147,835 $5.37M
2022 157,846 $5.76M
2023 133,395 $5.60M
2024 95,992 $4.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 33,779 29,749 $6.32M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 76,466 64,356 $2.81M
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf 38,247 33,907 $2.07M
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 11,856 10,468 $1.90M
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 42,805 39,444 $1.58M
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 3,827 3,071 $1.47M
E0603 Breast pump, electric (ac and/or dc), any type 7,822 6,947 $1.25M
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 31,453 25,802 $1.02M
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 10,571 8,958 $849K
E0601 Continuous positive airway pressure (cpap) device 28,384 25,028 $840K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 12,971 11,834 $769K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 13,062 11,628 $743K
A7031 Face mask interface, replacement for full face mask, each 31,214 26,239 $734K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 2,203 1,572 $677K
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 1,124 885 $579K
A7030 Full face mask used with positive airway pressure device, each 16,830 13,729 $571K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 57,114 47,497 $511K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 13,889 11,901 $433K
A7032 Cushion for use on nasal mask interface, replacement only, each 15,401 13,328 $425K
E0143 Walker, folding, wheeled, adjustable or fixed height 13,731 11,505 $378K
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 1,585 1,419 $335K
L0174 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf 2,539 2,212 $327K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 15,965 12,368 $309K
E0570 Nebulizer, with compressor 20,824 16,827 $305K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 6,606 5,764 $292K
E0562 Humidifier, heated, used with positive airway pressure device 12,199 10,566 $289K
K0001 Standard wheelchair 27,752 22,636 $287K
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) 4,369 3,704 $272K
L3260 Surgical boot/shoe, each 17,928 15,361 $271K
A4604 Tubing with integrated heating element for use with positive airway pressure device 13,538 11,545 $262K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 3,614 3,073 $239K
A7035 Headgear used with positive airway pressure device 18,563 15,884 $193K
A7038 Filter, disposable, used with positive airway pressure device 55,077 46,911 $170K
E0163 Commode chair, mobile or stationary, with fixed arms 5,929 4,919 $168K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 1,249 1,055 $148K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair 8,348 7,035 $145K
A7037 Tubing used with positive airway pressure device 18,928 15,822 $140K
K0003 Lightweight wheelchair 7,686 6,466 $131K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 6,598 5,695 $129K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 16,885 14,298 $112K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 1,550 1,353 $95K
L3982 Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment 490 448 $95K
L0464 Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment 195 160 $92K
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf 1,538 1,236 $79K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 4,222 3,275 $78K
K0821 Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds 1,203 986 $73K
K0006 Heavy duty wheelchair 2,898 2,365 $68K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 10,931 8,533 $62K
K0007 Extra heavy duty wheelchair 1,913 1,537 $59K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 535 248 $55K
E0165 Commode chair, mobile or stationary, with detachable arms 3,569 2,805 $55K
L2795 Addition to lower extremity orthosis, knee control, full kneecap 1,614 1,268 $53K
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds 556 384 $47K
L1846 Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated 77 61 $46K
E0149 Walker, heavy duty, wheeled, rigid or folding, any type 1,534 1,225 $45K
E0600 Respiratory suction pump, home model, portable or stationary, electric 1,575 1,252 $45K
E1392 Portable oxygen concentrator, rental 2,731 2,161 $38K
A7039 Filter, non disposable, used with positive airway pressure device 11,184 9,321 $37K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 4,193 3,595 $30K
E0971 Manual wheelchair accessory, anti-tipping device, each 9,245 4,397 $30K
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation 1,394 1,071 $28K
K0002 Standard hemi (low seat) wheelchair 1,060 879 $28K
L3170 Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each 1,002 827 $26K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth 2,646 1,786 $23K
E1140 Wheelchair, detachable arms, desk or full length, swing away detachable footrests 1,812 1,670 $20K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven 781 668 $20K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width 475 326 $19K
A4467 Belt, strap, sleeve, garment, or covering, any type 2,246 896 $19K
B9002 Enteral nutrition infusion pump, any type 463 235 $17K
E0156 Seat attachment, walker 2,602 2,016 $15K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress 872 636 $14K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 343 154 $14K
E0118 Crutch substitute, lower leg platform, with or without wheels, each 143 90 $13K
E0100 Cane, includes canes of all materials, adjustable or fixed, with tip 1,172 1,015 $13K
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 170 77 $13K
K0108 Wheelchair component or accessory, not otherwise specified 170 64 $11K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches 1,583 1,094 $10K
E0250 Hospital bed, fixed height, with any type side rails, with mattress 990 816 $10K
A7036 Chinstrap used with positive airway pressure device 1,618 1,379 $10K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 671 472 $10K
E0135 Walker, folding (pickup), adjustable or fixed height 290 243 $8K
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 144 105 $8K
L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf 217 195 $7K
E1150 Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests 218 200 $7K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware 163 124 $7K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 224 146 $6K
E0168 Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each 169 128 $5K
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds 1,406 1,098 $5K
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each 129 58 $5K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each 2,531 1,262 $5K
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 29 15 $4K
E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each 14 12 $4K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each 287 197 $4K
L1660 Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment 57 38 $4K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 86 41 $4K
E0277 Powered pressure-reducing air mattress 42 36 $3K
E0105 Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips 159 115 $3K
L2755 Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only 29 24 $2K
E0910 Trapeze bars, a/k/a patient helper, attached to bed, with grab bar 681 494 $2K
A7000 Canister, disposable, used with suction pump, each 255 161 $2K
A4595 Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) 132 118 $2K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each 156 65 $2K
A7002 Tubing, used with suction pump, each 463 217 $2K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 51 26 $1K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 30 12 $1K
E1290 Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest 41 36 $1K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 26 12 $989.13
E1090 High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests 132 123 $934.83
E2361 Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) 21 13 $825.01
K0004 High strength, lightweight wheelchair 49 41 $693.38
A4628 Oral and/or oropharyngeal suction catheter, each 403 201 $633.70
A4565 Slings 175 167 $632.69
L2999 Lower extremity orthoses, not otherwise specified 95 53 $447.51
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator 1,105 944 $327.02
E1020 Residual limb support system for wheelchair, any type 107 67 $306.12
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet 16 12 $162.94
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each 14 12 $162.65
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 101 76 $105.86
A9270 Non-covered item or service 297 213 $63.44
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor 17 13 $48.53
A7525 Tracheostomy mask, each 33 25 $45.62
E1399 Durable medical equipment, miscellaneous 27 12 $38.81
K0052 Swingaway, detachable footrests, replacement only, each 15 12 $14.85
A4615 Cannula, nasal 13 12 $0.00