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

Sagamore RX INC.

Sagamore RX INC. was paid $3K by Medicaid between Jan 2024 and Apr 2024, across 7 billing codes. Its largest line is L1820, Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 55% of everything it billed.

33Billing provider infoSAGAMORE RX INC.
CANOGA PARK, CA 91303
33aNPI1952984882assigned 04/29/2021
28Total paid$3K
24GClaims501
24DCodes billed7
24AFirst – last monthJan 2024 – Apr 2024
Compared with peers

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

Rank by total paid#595 of 946
Median peer was paid$15K
This provider vs. median0.2×

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$1.0K$2.0K2018201920202021202220232024
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
2024incomplete501$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 55% 189 109 $2K
L3761 Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf 22% 32 32 $644.42
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 19% 14 14 $557.75
L0627 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 2.6% 33 33 $73.85
L2387 Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint <1% 177 97 $20.67
L0180 Cervical, multiple post collar, occipital/mandibular supports, adjustable 0% 19 19 $0.00
L1971 Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment 0% 37 19 $0.00

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 officialAMIN NAZAR, MANDANA (OWNER)
Same official

Other billing entities under AMIN NAZAR, MANDANA

Full network →
ProviderLocationPaid
Blue Lotus Healthcare Holding CorpCanoga Park, CA$32K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.