Medicaid Provider Spending

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

MINERAL WELLS MEDICAL SUPPLY, INC

NPI: 1740205657 · MINERAL WELLS, TX 76067 · Oxygen Equipment & Supplies (DME) · NPI assigned 07/12/2006

$141K
Total Medicaid Paid
3,917
Total Claims
3,804
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, REBBEKAH (PRESIDENT/OWNER)
NPI Enumeration Date07/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 222 $1K
2019 408 $4K
2020 328 $9K
2021 1,037 $46K
2022 861 $40K
2023 654 $24K
2024 407 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1,147 1,112 $80K
E0570 Nebulizer, with compressor 1,036 1,018 $43K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 909 888 $12K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 411 391 $6K
A7015 Aerosol mask, used with dme nebulizer 414 395 $442.69