Medicaid Provider Spending

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

PRETTY IN PINK BOUTIQUE, INC.

NPI: 1902423684 · EL PASO, TX 79925 · Prosthetic/Orthotic Supplier · NPI assigned 06/29/2020

$27K
Total Medicaid Paid
1,857
Total Claims
1,777
Beneficiaries
3
Codes Billed
2023-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialTAVAREZ, ERIKA (PRESIDENT)
NPI Enumeration Date06/29/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,857 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4353 Intermittent urinary catheter, with insertion supplies 1,351 1,325 $26K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 408 404 $767.83
L1852 Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 98 48 $225.82