Medicaid Provider Spending

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

WALLACE HOME MEDICAL SUPPLIES

NPI: 1790947828 · PASO ROBLES, CA 93446 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/30/2008

$214K
Total Medicaid Paid
1,261
Total Claims
1,240
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWALLACE, TRAGO (PRESIDENT)
NPI Enumeration Date06/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 130 $9K
2019 55 $5K
2020 122 $12K
2021 51 $4K
2022 159 $75K
2023 347 $75K
2024 397 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L0631 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 187 187 $121K
E0570 Nebulizer, with compressor 299 296 $47K
E0601 Continuous positive airway pressure (cpap) device 378 363 $38K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 281 278 $7K
A7015 Aerosol mask, used with dme nebulizer 103 103 $175.38
A7038 Filter, disposable, used with positive airway pressure device 13 13 $82.06