Specialty Medical Equipment INC.
Specialty Medical Equipment INC. was paid $3.55M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 32% of everything it billed.
SHELBY TOWNSHIP, MI 48316
Next to other Durable Medical Equipment & Medical Supplies providers in Michigan
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 36,675 | $145K | |
| 2019 | 35,799 | $139K | |
| 2020 | 33,267 | $189K | |
| 2021 | 61,620 | $725K | |
| 2022 | 60,471 | $827K | |
| 2023 | 78,046 | $946K | |
| 2024incomplete | 39,205 | $581K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 32% | 37,145 | 31,079 | $1.13M |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 30% | 24,546 | 19,670 | $1.06M |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 11% | 61,623 | 51,204 | $406K |
| A7030 | Full face mask used with positive airway pressure device, each | 3.8% | 7,371 | 6,188 | $135K |
| A7031 | Face mask interface, replacement for full face mask, each | 3.7% | 7,693 | 6,399 | $133K |
| E0607 | Home blood glucose monitor | 2.3% | 7,347 | 5,883 | $81K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.2% | 3,726 | 3,025 | $80K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 2.1% | 5,699 | 4,711 | $75K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 1.7% | 2,325 | 1,922 | $61K |
| A7037 | Tubing used with positive airway pressure device | 1.6% | 12,196 | 10,217 | $57K |
| A7035 | Headgear used with positive airway pressure device | 1.6% | 8,491 | 7,069 | $56K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | 1.4% | 1,172 | 913 | $49K |
14 more codes
| A4256 | Normal, low and high calibrator solution / chips | 1.4% | 55,856 | $49K |
| A4259 | Lancets, per box of 100 | 1.4% | 58,372 | $49K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 1.2% | 2,169 | $41K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.1% | 14,069 | $41K |
| A4258 | Spring-powered device for lancet, each | <1% | 26,540 | $20K |
| E0745 | Neuromuscular stimulator, electronic shock unit | <1% | 1,255 | $16K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 2,758 | $6K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 677 | $5K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 1,607 | $3K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 257 | $2K |
| E0849 | Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible | <1% | 226 | $1K |
| A4233 | Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each | <1% | 1,836 | $774.01 |
| E0210 | Electric heat pad, standard | <1% | 91 | $334.45 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 36 | $58.21 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ajt Diabetic Incorporated | Houston, TX | $1.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.