Medicaid Provider Spending

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

PRO DME LLC

NPI: 1902258916 · SOUTH SALT LAKE, UT 84115 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/01/2016

$6K
Total Medicaid Paid
24
Total Claims
12
Beneficiaries
1
Codes Billed
2022-06
First Month
2022-06
Last Month

Provider Details

Authorized OfficialJOHNCOCK, DARIN (CEO)
NPI Enumeration Date07/01/2016

Related Entities

Other providers sharing the same authorized official: JOHNCOCK, DARIN

ProviderCityStateTotal Paid
DURAMED LLC SALT LAKE CITY UT $4.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 24 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0673 Segmental gradient pressure pneumatic appliance, half leg 24 12 $6K