Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Prodigy Medical, LLC

Prodigy Medical, LLC was paid $861K by Medicaid between Jul 2019 and Dec 2024, across 14 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 32% of everything it billed.

33Billing provider infoPRODIGY MEDICAL, LLC
ANCHORAGE, AK 99503
33aNPI1912473885assigned 10/18/2018
28Total paid$861K
24GClaims18,263
24DCodes billed14
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Alaska

Rank by total paid#4 of 40
Median peer was paid$8K
This provider vs. median104×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019751$31K
20201,205$95K
20211,094$56K
20223,824$150K
20235,233$254K
2024incomplete6,156$275K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E0601 Continuous positive airway pressure (cpap) device 32% 4,870 4,307 $278K
A7030 Full face mask used with positive airway pressure device, each 17% 1,354 1,271 $147K
E0562 Humidifier, heated, used with positive airway pressure device 11% 1,768 1,545 $96K
A4604 Tubing with integrated heating element for use with positive airway pressure device 10% 2,134 2,019 $88K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 7.6% 922 897 $65K
A7031 Face mask interface, replacement for full face mask, each 5.5% 1,293 1,217 $47K
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) 5.4% 340 310 $47K
A7035 Headgear used with positive airway pressure device 3.9% 1,492 1,433 $34K
A7032 Cushion for use on nasal mask interface, replacement only, each 3.2% 628 610 $28K
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.0% 31 24 $9K
A7038 Filter, disposable, used with positive airway pressure device 1.0% 2,353 2,217 $9K
A7039 Filter, non disposable, used with positive airway pressure device <1% 747 713 $5K
2 more codes
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 132 $5K
A7037 Tubing used with positive airway pressure device <1% 199 $4K

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.

From NPPES

Who's on the registration

Authorized officialHALPIN, MARK (CEO)