Supplier
Gould's Discount Medical LLC
Gould's Discount Medical LLC was paid $32.08M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 20% of everything it billed.
33Billing provider infoGOULD'S DISCOUNT MEDICAL LLC
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
33aNPI1669417531assigned 06/17/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$32.08M
24GClaims823,546
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Kentucky
Rank by total paid#1 of 29
Median peer was paid$563K
This provider vs. median57×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 95,992 | $4.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 20% | 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 | 8.8% | 76,466 | 64,356 | $2.81M |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 6.5% | 38,247 | 33,907 | $2.07M |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 5.9% | 11,856 | 10,468 | $1.90M |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 4.9% | 42,805 | 39,444 | $1.58M |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 4.6% | 3,827 | 3,071 | $1.47M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 3.9% | 7,822 | 6,947 | $1.25M |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 3.2% | 31,453 | 25,802 | $1.02M |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 2.6% | 10,571 | 8,958 | $849K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.6% | 28,384 | 25,028 | $840K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 2.4% | 12,971 | 11,834 | $769K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 2.3% | 13,062 | 11,628 | $743K |
112 more codes
| A7031 | Face mask interface, replacement for full face mask, each | 2.3% | 31,214 | $734K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 2.1% | 2,203 | $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 | 1.8% | 1,124 | $579K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.8% | 16,830 | $571K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.6% | 57,114 | $511K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 1.3% | 13,889 | $433K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.3% | 15,401 | $425K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.2% | 13,731 | $378K |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.0% | 1,585 | $335K |
| L0174 | Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf | 1.0% | 2,539 | $327K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 15,965 | $309K |
| E0570 | Nebulizer, with compressor | <1% | 20,824 | $305K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 6,606 | $292K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 12,199 | $289K |
| K0001 | Standard wheelchair | <1% | 27,752 | $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) | <1% | 4,369 | $272K |
| L3260 | Surgical boot/shoe, each | <1% | 17,928 | $271K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 13,538 | $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 | <1% | 3,614 | $239K |
| A7035 | Headgear used with positive airway pressure device | <1% | 18,563 | $193K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 55,077 | $170K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 5,929 | $168K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 1,249 | $148K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 8,348 | $145K |
| A7037 | Tubing used with positive airway pressure device | <1% | 18,928 | $140K |
| K0003 | Lightweight wheelchair | <1% | 7,686 | $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 | <1% | 6,598 | $129K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 16,885 | $112K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | <1% | 1,550 | $95K |
| L3982 | Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment | <1% | 490 | $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 | <1% | 195 | $92K |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | <1% | 1,538 | $79K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 4,222 | $78K |
| K0821 | Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds | <1% | 1,203 | $73K |
| K0006 | Heavy duty wheelchair | <1% | 2,898 | $68K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 10,931 | $62K |
| K0007 | Extra heavy duty wheelchair | <1% | 1,913 | $59K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 535 | $55K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 3,569 | $55K |
| L2795 | Addition to lower extremity orthosis, knee control, full kneecap | <1% | 1,614 | $53K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 556 | $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 | <1% | 77 | $46K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 1,534 | $45K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 1,575 | $45K |
| E1392 | Portable oxygen concentrator, rental | <1% | 2,731 | $38K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 11,184 | $37K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 4,193 | $30K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 9,245 | $30K |
| E0730 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | <1% | 1,394 | $28K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 1,060 | $28K |
| L3170 | Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each | <1% | 1,002 | $26K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 2,646 | $23K |
| E1140 | Wheelchair, detachable arms, desk or full length, swing away detachable footrests | <1% | 1,812 | $20K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 781 | $20K |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | <1% | 475 | $19K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 2,246 | $19K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 463 | $17K |
| E0156 | Seat attachment, walker | <1% | 2,602 | $15K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 872 | $14K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 343 | $14K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 143 | $13K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 1,172 | $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 | <1% | 170 | $13K |
| K0108 | Wheelchair component or accessory, not otherwise specified | <1% | 170 | $11K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 1,583 | $10K |
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | <1% | 990 | $10K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 1,618 | $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 | <1% | 671 | $10K |
| E0135 | Walker, folding (pickup), adjustable or fixed height | <1% | 290 | $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 | <1% | 144 | $8K |
| L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | <1% | 217 | $7K |
| E1150 | Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests | <1% | 218 | $7K |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | <1% | 163 | $7K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 224 | $6K |
| E0168 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | <1% | 169 | $5K |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | <1% | 1,406 | $5K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 129 | $5K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 2,531 | $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 | <1% | 29 | $4K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | <1% | 14 | $4K |
| E1226 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | <1% | 287 | $4K |
| L1660 | Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment | <1% | 57 | $4K |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | <1% | 86 | $4K |
| E0277 | Powered pressure-reducing air mattress | <1% | 42 | $3K |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | <1% | 159 | $3K |
| L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only | <1% | 29 | $2K |
| E0910 | Trapeze bars, a/k/a patient helper, attached to bed, with grab bar | <1% | 681 | $2K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 255 | $2K |
| A4595 | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) | <1% | 132 | $2K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 156 | $2K |
| A7002 | Tubing, used with suction pump, each | <1% | 463 | $2K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 51 | $1K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 30 | $1K |
| E1290 | Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest | <1% | 41 | $1K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 26 | $989.13 |
| E1090 | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests | <1% | 132 | $934.83 |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | <1% | 21 | $825.01 |
| K0004 | High strength, lightweight wheelchair | <1% | 49 | $693.38 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 403 | $633.70 |
| A4565 | Slings | <1% | 175 | $632.69 |
| L2999 | Lower extremity orthoses, not otherwise specified | <1% | 95 | $447.51 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 1,105 | $327.02 |
| E1020 | Residual limb support system for wheelchair, any type | <1% | 107 | $306.12 |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 16 | $162.94 |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 14 | $162.65 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 101 | $105.86 |
| A9270 | Non-covered item or service | <1% | 297 | $63.44 |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 17 | $48.53 |
| A7525 | Tracheostomy mask, each | <1% | 33 | $45.62 |
| E1399 | Durable medical equipment, miscellaneous | <1% | 27 | $38.81 |
| K0052 | Swingaway, detachable footrests, replacement only, each | <1% | 15 | $14.85 |
| A4615 | Cannula, nasal | 0% | 13 | $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 officialRUSSALESI, WENDY (CCO)
Parent organizationGOULD'S DISCOUNT MEDICAL LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.