1790453348

1790453348 was paid $151K by Medicaid between Jan 2023 and Nov 2024, across 5 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 76% of everything it billed.

33Billing provider info1790453348

33aNPI1790453348

33bProvider type—

28Total paid$151K

24GClaims1,619

24DCodes billed5

24AFirst – last monthJan 2023 – Nov 2024

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
2023	743	$35K
2024incomplete	876	$116K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	76%	564	478	$115K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	12%	528	416	$19K
E0601	Continuous positive airway pressure (cpap) device	6.2%	122	100	$9K
E1392	Portable oxygen concentrator, rental	3.3%	393	312	$5K
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	1.8%	12	12	$3K

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.