1730184169

1730184169 was paid $1.43M by Medicaid between Jan 2018 and Aug 2021, across 36 billing codes. Its largest line is A4520, Incontinence garment, any type, (e.g., brief, diaper), each — 37% of everything it billed.

33Billing provider info1730184169

33aNPI1730184169

33bProvider type—

28Total paid$1.43M

24GClaims24,954

24DCodes billed36

24AFirst – last monthJan 2018 – Aug 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	4,314	$306K
2019	3,061	$176K
2020	9,691	$558K
2021	7,888	$389K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	37%	4,903	4,327	$531K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	24%	4,110	3,634	$340K
E0601	Continuous positive airway pressure (cpap) device	5.7%	1,656	1,436	$81K
A7030	Full face mask used with positive airway pressure device, each	3.4%	683	564	$49K
A4554	Disposable underpads, all sizes	3.3%	1,882	1,651	$47K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	2.7%	1,234	1,065	$39K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2.7%	317	282	$39K
E0570	Nebulizer, with compressor	1.9%	1,144	1,015	$28K
K0005	Ultralightweight wheelchair	1.8%	207	171	$26K
E0562	Humidifier, heated, used with positive airway pressure device	1.7%	275	213	$24K
K0861	Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds	1.6%	36	36	$22K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	1.5%	687	571	$22K

24 more codes

K0001	Standard wheelchair	1.5%	1,423	$22K
E0603	Breast pump, electric (ac and/or dc), any type	1.5%	274	$21K
A7037	Tubing used with positive airway pressure device	1.3%	889	$19K
A7035	Headgear used with positive airway pressure device	1.2%	887	$17K
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	1.0%	96	$15K
E1392	Portable oxygen concentrator, rental	<1%	1,057	$13K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	<1%	269	$12K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	297	$12K
K0825	Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds	<1%	43	$11K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	310	$8K
A7038	Filter, disposable, used with positive airway pressure device	<1%	913	$6K
E0143	Walker, folding, wheeled, adjustable or fixed height	<1%	186	$6K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	<1%	159	$5K
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	<1%	485	$4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	125	$2K
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)	<1%	71	$2K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	70	$1K
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	<1%	21	$1K
K0108	Wheelchair component or accessory, not otherwise specified	<1%	28	$802.10
E2361	Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)	<1%	16	$739.58
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	<1%	38	$558.83
E0955	Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each	<1%	28	$528.72
A7031	Face mask interface, replacement for full face mask, each	<1%	58	$432.72
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	77	$345.37

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.