Medicaid Provider Spending

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

JUST LIKE YOU POST-MASTECTOMY AND

NPI: 1841226511 · JONESBORO, AR 72404 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/24/2006

$2K
Total Medicaid Paid
29
Total Claims
27
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-04
Last Month

Provider Details

Authorized OfficialHOLMES, DAVID (OWNER)
NPI Enumeration Date06/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 15 14 $1K
L8020 Breast prosthesis, mastectomy form 14 13 $365.83