Medicaid Provider Spending

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

DE DIVINE CONNECTION MEDICAL SUPPLY INC

NPI: 1740479369 · STAFFORD, TX 77477 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/19/2007

$18K
Total Medicaid Paid
180
Total Claims
178
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialATUCHI, ANTHONY (PRESIDENT)
NPI Enumeration Date10/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 46 46 $8K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 27 25 $5K
A4554 Disposable underpads, all sizes 107 107 $5K