Medicaid Provider Spending

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

GOOD SAMARITAN MED SUPPLY INC

NPI: 1851941876 · NEWARK, CA 94560 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/12/2019

$1.29M
Total Medicaid Paid
25,077
Total Claims
24,615
Beneficiaries
9
Codes Billed
2020-11
First Month
2023-12
Last Month

Provider Details

Authorized OfficialTORREZ, HOLLY (VICE PRESIDENT)
NPI Enumeration Date09/12/2019

Related Entities

Other providers sharing the same authorized official: TORREZ, HOLLY

ProviderCityStateTotal Paid
RICHARD MARTIN WALUS NEWARK CA $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 140 $4K
2021 8,453 $399K
2022 8,906 $459K
2023 7,578 $430K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 2,747 2,678 $351K
T4541 Incontinence product, disposable underpad, large, each 5,192 5,122 $321K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 4,803 4,559 $268K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 1,270 1,261 $144K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 5,033 5,007 $78K
A4335 Incontinence supply; miscellaneous 5,360 5,317 $70K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 585 584 $57K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 62 62 $3K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 25 25 $1K