1699704700

1699704700 was paid $910K by Medicaid between Jan 2018 and Jul 2019, across 44 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 — 33% of everything it billed.

33Billing provider info1699704700

33aNPI1699704700

33bProvider type—

28Total paid$910K

24GClaims18,929

24DCodes billed44

24AFirst – last monthJan 2018 – Jul 2019

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	15,059	$715K
2019	3,870	$195K

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	33%	2,885	2,776	$303K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10.0%	702	607	$91K
E0603	Breast pump, electric (ac and/or dc), any type	9.2%	663	653	$84K
E0570	Nebulizer, with compressor	7.4%	4,382	4,349	$67K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	5.8%	2,150	2,064	$53K
E0601	Continuous positive airway pressure (cpap) device	5.1%	690	679	$46K
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	4.5%	319	274	$41K
E0143	Walker, folding, wheeled, adjustable or fixed height	3.3%	374	373	$30K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	2.7%	787	784	$24K
K0001	Standard wheelchair	2.2%	507	496	$20K
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	1.9%	409	379	$17K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	1.8%	106	100	$16K

32 more codes

L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	1.7%	236	$16K
B9002	Enteral nutrition infusion pump, any type	1.6%	348	$14K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	1.3%	216	$12K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	1.2%	103	$11K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	647	$8K
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%	42	$6K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	209	$6K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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%	67	$5K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	90	$4K
L3260	Surgical boot/shoe, each	<1%	77	$4K
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%	583	$4K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	<1%	35	$3K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	16	$3K
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	<1%	71	$2K
A5120	Skin barrier, wipes or swabs, each	<1%	351	$2K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	46	$2K
E0776	Iv pole	<1%	400	$2K
E0971	Manual wheelchair accessory, anti-tipping device, each	<1%	421	$2K
E0600	Respiratory suction pump, home model, portable or stationary, electric	<1%	85	$1K
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	<1%	119	$1K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	<1%	24	$1K
A4629	Tracheostomy care kit for established tracheostomy	<1%	25	$1K
A4394	Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce	<1%	115	$1K
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	<1%	38	$698.53
A4406	Ostomy skin barrier, pectin-based, paste, per ounce	<1%	27	$641.48
A4456	Adhesive remover, wipes, any type, each	<1%	197	$588.33
A4452	Tape, waterproof, per 18 square inches	<1%	14	$346.49
A4371	Ostomy skin barrier, powder, per oz	<1%	179	$329.40
E0978	Wheelchair accessory, positioning belt/safety belt/pelvic strap, each	<1%	46	$136.33
A7015	Aerosol mask, used with dme nebulizer	<1%	91	$89.89
A7002	Tubing, used with suction pump, each	<1%	24	$81.28
A4367	Ostomy belt, each	<1%	13	$66.24

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.