1710961362

1710961362 was paid $16K by Medicaid between May 2019 and Apr 2020, 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 — 63% of everything it billed.

33Billing provider info1710961362

33aNPI1710961362

33bProvider type—

28Total paid$16K

24GClaims190

24DCodes billed3

24AFirst – last monthMay 2019 – Apr 2020

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
2019	127	$15K
2020	63	$2K

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	63%	43	42	$10K
E0601	Continuous positive airway pressure (cpap) device	23%	111	75	$4K
E0430	Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing	14%	36	36	$2K

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.