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

TCG Interests, LLC

TCG Interests, LLC was paid $52.36M by Medicaid between Jan 2018 and Nov 2024, across 117 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 13% of everything it billed.

33Billing provider infoTCG INTERESTS, LLC
HOUSTON, TX 77054
33aNPI1013952613assigned 06/18/2006
28Total paid$52.36M
24GClaims535,898
24DCodes billed117
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas

Rank by total paid#5 of 81
Median peer was paid$653K
This provider vs. median80×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ZEHNDER, CAMEO controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018502$16K
20191,309$39K
202030,618$2.78M
2021115,769$11.55M
2022126,395$12.53M
2023140,472$13.89M
2024incomplete120,833$11.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 13% 9,111 8,225 $6.66M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 13% 27,098 22,701 $6.66M
B9998 Noc for enteral supplies 7.8% 40,199 27,332 $4.08M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 7.6% 5,529 5,083 $3.98M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 6.3% 11,109 9,907 $3.32M
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 4.3% 5,732 5,055 $2.26M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 4.1% 3,018 2,927 $2.13M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 4.0% 18,710 18,133 $2.08M
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.0% 2,132 1,323 $1.58M
A4606 Oxygen probe for use with oximeter device, replacement 2.8% 22,363 11,169 $1.47M
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit 2.4% 5,468 4,848 $1.27M
E0482 Cough stimulating device, alternating positive and negative airway pressure 2.2% 4,819 4,641 $1.17M
105 more codes
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2.1% 5,957 $1.11M
B9002 Enteral nutrition infusion pump, any type 1.6% 7,365 $823K
A4624 Tracheal suction catheter, any type other than closed system, each 1.3% 6,386 $696K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1.3% 4,962 $693K
A4605 Tracheal suction catheter, closed system, each 1.3% 4,826 $666K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.3% 1,448 $661K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.2% 3,101 $605K
A7000 Canister, disposable, used with suction pump, each 1.1% 19,787 $588K
A4629 Tracheostomy care kit for established tracheostomy 1.1% 6,690 $587K
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) 1.1% 1,833 $570K
A4353 Intermittent urinary catheter, with insertion supplies <1% 993 $504K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit <1% 2,269 $484K
A4554 Disposable underpads, all sizes <1% 15,067 $464K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 5,731 $453K
B4104 Additive for enteral formula (e.g., fiber) <1% 2,845 $384K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 5,431 $363K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 17,845 $345K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 3,666 $339K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 3,261 $327K
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 5,123 $276K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 2,783 $266K
A7526 Tracheostomy tube collar/holder, each <1% 9,469 $264K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 2,011 $250K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,036 $249K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 2,698 $236K
A7002 Tubing, used with suction pump, each <1% 22,008 $228K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 2,099 $213K
A4322 Irrigation syringe, bulb or piston, each <1% 21,399 $193K
E1399 Durable medical equipment, miscellaneous <1% 483 $169K
E0601 Continuous positive airway pressure (cpap) device <1% 2,664 $150K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 33,785 $148K
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) <1% 920 $145K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 1,398 $131K
A4335 Incontinence supply; miscellaneous <1% 19,734 $130K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 10,135 $118K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 769 $108K
E0483 High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each <1% 151 $105K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 18,158 $102K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 836 $100K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code <1% 4,399 $98K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 12,213 $87K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 514 $86K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 3,491 $82K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 768 $79K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 595 $74K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 275 $64K
E0776 Iv pole <1% 6,766 $55K
A4452 Tape, waterproof, per 18 square inches <1% 7,624 $53K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 295 $47K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,010 $46K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 1,417 $46K
A4927 Gloves, non-sterile, per 100 <1% 6,794 $43K
A4217 Sterile water/saline, 500 ml <1% 1,871 $42K
B4100 Food thickener, administered orally, per ounce <1% 1,347 $38K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 14,193 $36K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 1,888 $34K
A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified <1% 202 $31K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each <1% 735 $30K
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 1,642 $30K
E0570 Nebulizer, with compressor <1% 294 $29K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 1,576 $27K
A4623 Tracheostomy, inner cannula <1% 574 $26K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 470 $24K
A4402 Lubricant, per ounce <1% 4,485 $22K
A4481 Tracheostoma filter, any type, any size, each <1% 2,408 $22K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 203 $16K
B4082 Nasogastric tubing without stylet <1% 294 $16K
E0300 Pediatric crib, hospital grade, fully enclosed, with or without top enclosure <1% 94 $16K
A7037 Tubing used with positive airway pressure device <1% 964 $15K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 151 $14K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 567 $13K
K0001 Standard wheelchair <1% 402 $13K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 108 $12K
A5120 Skin barrier, wipes or swabs, each <1% 1,710 $11K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,409 $11K
A7525 Tracheostomy mask, each <1% 3,921 $11K
A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz. <1% 1,166 $9K
A7012 Water collection device, used with large volume nebulizer <1% 1,649 $7K
A4670 Automatic blood pressure monitor <1% 129 $6K
A7015 Aerosol mask, used with dme nebulizer <1% 4,739 $5K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 44 $5K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 423 $5K
A4213 Syringe, sterile, 20 cc or greater, each <1% 1,470 $4K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 181 $4K
A4310 Insertion tray without drainage bag and without catheter (accessories only) <1% 24 $4K
A4371 Ostomy skin barrier, powder, per oz <1% 588 $3K
A4450 Tape, non-waterproof, per 18 square inches <1% 1,439 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 622 $2K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 186 $2K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 75 $2K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 108 $2K
S8999 Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) <1% 14 $2K
A4245 Alcohol wipes, per box <1% 770 $1K
A4456 Adhesive remover, wipes, any type, each <1% 113 $945.97
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 121 $935.37
L8501 Tracheostomy speaking valve <1% 17 $897.52
E0562 Humidifier, heated, used with positive airway pressure device <1% 79 $835.54
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 51 $744.74
A4657 Syringe, with or without needle, each <1% 372 $571.59
A4244 Alcohol or peroxide, per pint <1% 723 $406.65
A4332 Lubricant, individual sterile packet, each <1% 128 $400.39
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 458 $289.05
A4649 Surgical supply; miscellaneous <1% 92 $214.75
A7039 Filter, non disposable, used with positive airway pressure device <1% 26 $143.91
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 12 $34.97

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 officialZEHNDER, CAMEO (CHIEF ADMINISTRATIVE OFFICER)
Same official

Other billing entities under ZEHNDER, CAMEO

Full network →
ProviderLocationPaid
Pediatric Home Respiratory Services LLCRoseville, MN$197.48M
Apple Homecare Medical Supply LLCRichardson, TX$123.28M
Urs Sub I, LLCWaco, TX$75.72M
Advanced Medical Equipment, LLCMiamisburg, OH$58.36M
Alliance Medical Supply, LLCSan Antonio, TX$34.76M
RSVP Equipment of Greater Cincinnati, LLCCovington, KY$24.45M
Medic Home Health Care, LLCMayfield Village, OH$17.00M
Pediatric Home Respiratory Services LLCRoseville, MN$14.21M
Cherub Medical Supply, LLCLenexa, KS$6.26M
Mobile Medical Maintenance, LLCFort Wayne, IN$4.28M
Pulmonary Partners LLCCovington, KY$431K

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