1700936796

1700936796 was paid $221K by Medicaid between Jan 2018 and Feb 2021, across 3 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 — 78% of everything it billed.

33Billing provider info1700936796

33aNPI1700936796

33bProvider type—

28Total paid$221K

24GClaims4,055

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2021

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	1,154	$45K
2019	1,253	$76K
2020	1,434	$85K
2021	214	$15K

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	78%	2,240	2,140	$173K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	14%	640	583	$32K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7.7%	1,175	1,123	$17K

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.