Medicaid Provider Spending

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

GAGE LUCKY 13 LLC

NPI: 1982878724 · TECUMSEH, OK 74873 · Oxygen Equipment & Supplies (DME) · NPI assigned 04/14/2008

$222K
Total Medicaid Paid
3,477
Total Claims
3,477
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialGAGE, NICOLE (MEMBER/OWNER)
NPI Enumeration Date04/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 940 $61K
2019 803 $49K
2020 564 $30K
2021 346 $17K
2022 364 $25K
2023 396 $32K
2024 64 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1,837 1,837 $193K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1,640 1,640 $29K