Supplier
Nutrix INC
Nutrix INC was paid $778.82 by Medicaid between Jan 2018 and Jan 2018, across 4 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 88% of everything it billed.
33Billing provider infoNUTRIX INC
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1023094182assigned 12/21/2005
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$778.82
24GClaims83
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2018
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 83 | $778.82 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 88% | 34 | 32 | $682.66 |
| 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 | 12% | 18 | 17 | $96.16 |
| 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 | 0% | 16 | 16 | $0.00 |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 0% | 15 | 15 | $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 officialPLA CORTES, JAIME (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Equipos Pro Convalecencia | San Juan, PR | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.