Medicaid Provider Spending

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

MODERN DME LLC

NPI: 1942955042 · TARZANA, CA 91356 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/16/2022

$3K
Total Medicaid Paid
190
Total Claims
190
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHOORESHI, HAMED (MEMBER)
NPI Enumeration Date02/16/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 190 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 36 36 $2K
K0003 Lightweight wheelchair 93 93 $1K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 61 61 $181.13