Medicaid Provider Spending

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

APPALACHIAN MEDICAL LLC

NPI: 1891299681 · SOUTH CHARLESTON, WV 25309 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/19/2018

$8.05M
Total Medicaid Paid
57,097
Total Claims
48,728
Beneficiaries
23
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWISEMAN, MARY (MEMBER)
NPI Enumeration Date03/19/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,239 $327K
2020 4,009 $1.14M
2021 6,895 $1.25M
2022 12,134 $1.63M
2023 17,023 $1.84M
2024 15,797 $1.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 15,378 13,575 $5.39M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 1,284 766 $1.08M
E0483 High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each 1,510 1,261 $589K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 8,754 7,551 $521K
A7030 Full face mask used with positive airway pressure device, each 3,252 2,837 $137K
E0562 Humidifier, heated, used with positive airway pressure device 4,563 4,009 $77K
E0601 Continuous positive airway pressure (cpap) device 2,008 1,751 $67K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 4,770 4,111 $50K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 877 764 $47K
A7037 Tubing used with positive airway pressure device 3,810 3,213 $34K
A7035 Headgear used with positive airway pressure device 2,843 2,474 $27K
E0570 Nebulizer, with compressor 1,464 1,217 $15K
A7038 Filter, disposable, used with positive airway pressure device 4,176 3,183 $8K
E1392 Portable oxygen concentrator, rental 1,682 1,402 $6K
A7039 Filter, non disposable, used with positive airway pressure device 446 364 $2K
A7000 Canister, disposable, used with suction pump, each 87 79 $653.55
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 52 42 $652.56
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 15 14 $651.21
A7526 Tracheostomy tube collar/holder, each 39 38 $419.73
A7031 Face mask interface, replacement for full face mask, each 16 13 $298.77
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 29 25 $235.40
A7002 Tubing, used with suction pump, each 29 27 $81.26
A4618 Breathing circuits 13 12 $39.16