Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

1790453348

NPI: 1790453348

Deactivated NPI · This NPI was deactivated on 01/27/2026.
$151K
Total Medicaid Paid
1,619
Total Claims
1,318
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 743 $35K
2024 876 $116K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 564 478 $115K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 528 416 $19K
E0601 Continuous positive airway pressure (cpap) device 122 100 $9K
E1392 Portable oxygen concentrator, rental 393 312 $5K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 12 12 $3K