Medicaid Provider Spending

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

NPI: 1932537941 · LONE TREE, CO 80124 · Pharmacy · NPI assigned 10/30/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code A4556 with only 3 total codes billed. Highly concentrated billing profile.

$1.26M
Total Medicaid Paid
1,900
Total Claims
1,231
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialROSENFELDER, W. MICHAEL (PHARMACY MANAGER)
NPI Enumeration Date10/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 574 $438K
2019 1,172 $745K
2020 154 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4556 Electrodes, (e.g., apnea monitor), per pair 904 518 $1.20M
A4630 Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient 630 378 $54K
A4557 Lead wires, (e.g., apnea monitor), per pair 366 335 $6K