Supplier
Assurance Medical Supply, INC.
Assurance Medical Supply, INC. was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is K0861, Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds — 29% of everything it billed.
33Billing provider infoASSURANCE MEDICAL SUPPLY, INC.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1760787188assigned 01/14/2011
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.25M
24GClaims27,012
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#179 of 946
Median peer was paid$15K
This provider vs. median82×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 2,191 | $110K | |
| 2019 | 5,143 | $260K | |
| 2020 | 5,132 | $130K | |
| 2021 | 4,032 | $106K | |
| 2022 | 2,428 | $60K | |
| 2023 | 3,973 | $413K | |
| 2024incomplete | 4,113 | $174K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | 29% | 96 | 93 | $366K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 15% | 400 | 139 | $191K |
| K0001 | Standard wheelchair | 12% | 5,335 | 5,273 | $147K |
| E0295 | Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress | 8.5% | 1,798 | 1,775 | $106K |
| K0003 | Lightweight wheelchair | 5.9% | 1,876 | 1,835 | $74K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 5.2% | 1,746 | 1,692 | $65K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | 4.3% | 918 | 901 | $53K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 3.8% | 1,074 | 1,057 | $48K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 3.3% | 4,900 | 4,533 | $41K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 2.4% | 181 | 76 | $30K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 2.2% | 2,020 | 1,990 | $27K |
| E0305 | Bed side rails, half length | 1.5% | 1,293 | 1,275 | $19K |
16 more codes
| E0163 | Commode chair, mobile or stationary, with fixed arms | 1.4% | 349 | $17K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | 1.2% | 3,335 | $15K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 1.1% | 332 | $14K |
| E0271 | Mattress, innerspring | <1% | 592 | $10K |
| K0040 | Adjustable angle footplate, each | <1% | 125 | $10K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 61 | $3K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 48 | $3K |
| E2607 | Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth | <1% | 14 | $3K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 37 | $2K |
| E0310 | Bed side rails, full length | <1% | 102 | $2K |
| K0006 | Heavy duty wheelchair | <1% | 25 | $2K |
| E0245 | Tub stool or bench | <1% | 38 | $2K |
| E0156 | Seat attachment, walker | <1% | 119 | $1K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 116 | $886.66 |
| E2209 | Accessory, arm trough, with or without hand support, each | <1% | 68 | $631.28 |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 14 | $291.06 |
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.
From NPPES
Who's on the registration
Authorized officialGONZALEZ, KARINA (CEO)