Medicaid Provider Spending

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

BACK PAIN HOME SUPPLIES LLC

NPI: 1699125195 · DRUMRIGHT, OK 74030 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/15/2016

$4K
Total Medicaid Paid
565
Total Claims
434
Beneficiaries
4
Codes Billed
2018-02
First Month
2021-05
Last Month

Provider Details

Authorized OfficialLOFTIS, MARK (PRESIDENT & CEO)
NPI Enumeration Date06/15/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 531 $3K
2021 34 $878.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 197 182 $3K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 34 34 $878.05
L2397 Addition to lower extremity orthosis, suspension sleeve 287 188 $480.85
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 47 30 $0.00