Medicaid Provider Spending

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

XIJAO LLC

NPI: 1710501457 · MANALAPAN, NJ 07726 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/28/2020

$29K
Total Medicaid Paid
899
Total Claims
855
Beneficiaries
2
Codes Billed
2021-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialHIRSHOUT, LOUIS (OWNER)
NPI Enumeration Date05/28/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 212 $2K
2022 26 $777.07
2023 661 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 661 644 $27K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 238 211 $2K