Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bayville › NPI 1770956096
Supplier

Optimum Med Equipment Supply LLC

Optimum Med Equipment Supply LLC was paid $84K by Medicaid between Jan 2018 and Apr 2024, across 7 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 59% of everything it billed.

33Billing provider infoOPTIMUM MED EQUIPMENT SUPPLY LLC
BAYVILLE, NY 11709
33aNPI1770956096assigned 11/09/2015
28Total paid$84K
24GClaims3,697
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New York

Rank by total paid#262 of 479
Median peer was paid$138K
This provider vs. median0.6×

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$5.0K$10K2018201920202021202220232024
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
2018178$3K
2019109$9K
2020124$6K
2021145$7K
20222,668$57K
2023431$2K
2024incomplete42$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 59% 2,330 1,942 $50K
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 23% 222 197 $19K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system 13% 500 388 $11K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 2.8% 473 367 $2K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf <1% 105 82 $799.18
L0642 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf <1% 32 30 $779.04
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf <1% 35 25 $224.60

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 officialMONTICK, MARLENE (AUTHORIZED OFFICIAL)