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

Pacific Surgical Supply INC.

Pacific Surgical Supply INC. was paid $4.75M by Medicaid between Jan 2020 and Dec 2024, across 18 billing codes. Its largest line is A6244, Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing — 39% of everything it billed.

33Billing provider infoPACIFIC SURGICAL SUPPLY INC.
BROOKLYN, NY 11235
33aNPI1780868877assigned 12/26/2007
28Total paid$4.75M
24GClaims9,223
24DCodes billed18
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

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

Rank by total paid#40 of 479
Median peer was paid$138K
This provider vs. median34×

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$100K$200K$300K2018201920202021202220232024
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
2020430$496K
2021399$424K
2022271$291K
20232,629$1.18M
2024incomplete5,494$2.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A6244 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 39% 2,215 2,081 $1.87M
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 16% 870 860 $746K
A6236 Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 13% 1,536 1,449 $623K
A6247 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing 11% 967 937 $534K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 7.7% 633 621 $367K
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 3.9% 1,007 967 $186K
A6198 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing 3.7% 821 776 $174K
L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated 2.8% 108 105 $131K
L1005 Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment 1.1% 26 25 $53K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 82 81 $22K
A6259 Transparent film, sterile, more than 48 sq. in., each dressing <1% 461 448 $22K
A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce <1% 48 47 $8K
6 more codes
A4452 Tape, waterproof, per 18 square inches <1% 176 $7K
A6233 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing <1% 35 $6K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 60 $3K
A6246 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 13 $3K
A4217 Sterile water/saline, 500 ml <1% 153 $2K
A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard <1% 12 $734.40

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 officialSKRIBKA, ANZHELIKA (PRESIDENT)