Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Essential Hme, LLC.

Essential Hme, LLC. was paid $11K by Medicaid between May 2018 and Feb 2019, across 5 billing codes. Its largest line is L1851, Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf — 43% of everything it billed.

33Billing provider infoESSENTIAL HME, LLC.
EL CAJON, CA 92020
33aNPI1760902290assigned 06/26/2017
28Total paid$11K
24GClaims1,311
24DCodes billed5
24AFirst – last monthMay 2018 – Feb 2019
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#492 of 946
Median peer was paid$15K
This provider vs. median0.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018697$4K
2019614$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 43% 540 273 $5K
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 34% 287 243 $4K
L2397 Addition to lower extremity orthosis, suspension sleeve 8.6% 338 275 $958.26
L3916 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf 7.8% 85 68 $866.35
L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment 6.8% 61 48 $761.94

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 officialPACK, KATIE (OPERATIONS MANAGER)