Medicaid Provider Spending

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

ST. MARYS HEALTH CARE CENTER INVESTORS LLC

NPI: 1679929368 · EDWARDSVILLE, IL 62025 · Oxygen Equipment & Supplies (DME) · NPI assigned 05/11/2016

$12K
Total Medicaid Paid
74
Total Claims
74
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialADKINS, JAMMIE (REGIONAL DIRECTOR OF A/R)
NPI Enumeration Date05/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 61 61 $11K
E0444 Portable oxygen contents, liquid, 1 month's supply = 1 unit 13 13 $946.40