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

Byram Healthcare Centers, INC.

Byram Healthcare Centers, INC. was paid $44.32M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is A9276, Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply — 30% of everything it billed.

33Billing provider infoBYRAM HEALTHCARE CENTERS, INC.
GERMANTOWN, TN 38138
33aNPI1023438538assigned 04/23/2014
28Total paid$44.32M
24GClaims417,696
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#2 of 296
Median peer was paid$15K
This provider vs. median2,872×

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 BERNOCCHI, PERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201827,628$2.79M
201940,360$5.56M
202055,359$7.29M
202163,641$8.00M
202268,529$7.32M
202388,170$8.08M
2024incomplete74,009$5.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 30% 48,395 38,958 $13.27M
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 9.8% 9,162 7,838 $4.32M
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 8.9% 21,564 18,019 $3.97M
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories 8.6% 7,809 6,713 $3.81M
E0784 External ambulatory infusion pump, insulin 7.3% 2,727 1,939 $3.24M
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 5.7% 14,986 10,134 $2.52M
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 3.6% 6,772 5,268 $1.58M
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 2.0% 2,504 2,117 $893K
A4224 Supplies for maintenance of insulin infusion catheter, per week 2.0% 25,621 17,592 $869K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 1.6% 12,444 9,749 $720K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 1.5% 6,894 5,425 $644K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 1.3% 8,629 7,037 $585K
102 more codes
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 1.2% 3,475 $538K
A4230 Infusion set for external insulin pump, non needle cannula type 1.1% 10,911 $502K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 1.0% 4,547 $456K
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each 1.0% 28,063 $446K
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% 3,186 $441K
A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each <1% 4,249 $393K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 5,523 $346K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each <1% 7,705 $304K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each <1% 7,208 $256K
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce <1% 8,586 $247K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 2,779 $209K
A6252 Specialty absorptive 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% 4,042 $205K
A4232 Syringe with needle for external insulin pump, sterile, 3 cc <1% 7,132 $197K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system <1% 1,515 $193K
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 1,634 $168K
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard <1% 7,693 $159K
A4353 Intermittent urinary catheter, with insertion supplies <1% 296 $151K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each <1% 2,877 $148K
A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each <1% 355 $135K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 4,503 $128K
E0603 Breast pump, electric (ac and/or dc), any type <1% 1,051 $110K
T4541 Incontinence product, disposable underpad, large, each <1% 5,089 $110K
A5121 Skin barrier; solid, 6 x 6 or equivalent, each <1% 1,512 $100K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 1,464 $99K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver <1% 593 $96K
A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each <1% 1,982 $92K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,816 $88K
A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each <1% 697 $83K
T4543 Adult sized disposable incontinence product, protective brief/diaper, above extra large, each <1% 881 $78K
A4456 Adhesive remover, wipes, any type, each <1% 10,762 $77K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 5,897 $75K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 1,713 $69K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 1,294 $68K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 1,554 $66K
A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches <1% 851 $63K
A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each <1% 1,862 $62K
A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each <1% 849 $61K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 1,669 $56K
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,902 $53K
A4927 Gloves, non-sterile, per 100 <1% 5,599 $50K
A5120 Skin barrier, wipes or swabs, each <1% 12,627 $46K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 1,218 $45K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 7,459 $39K
A4520 Incontinence garment, any type, (e.g., brief, diaper), each <1% 1,186 $39K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 870 $39K
A4452 Tape, waterproof, per 18 square inches <1% 7,900 $34K
A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard <1% 460 $32K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 4,257 $32K
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard <1% 916 $32K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 640 $26K
A4371 Ostomy skin barrier, powder, per oz <1% 6,973 $25K
A4335 Incontinence supply; miscellaneous <1% 2,558 $23K
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 552 $21K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 6,686 $20K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 514 $20K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 541 $19K
A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each <1% 645 $18K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 1,517 $14K
A4367 Ostomy belt, each <1% 3,752 $13K
A6545 Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each <1% 710 $13K
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard <1% 367 $13K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 834 $11K
A4373 Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each <1% 212 $11K
K0552 Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each <1% 700 $11K
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 617 $10K
A6457 Tubular dressing with or without elastic, any width, per linear yard <1% 1,253 $9K
A4554 Disposable underpads, all sizes <1% 809 $8K
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard <1% 659 $8K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 2,885 $7K
A4450 Tape, non-waterproof, per 18 square inches <1% 4,198 $7K
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard <1% 80 $7K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each <1% 1,097 $7K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 2,070 $7K
A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each <1% 174 $6K
A4349 Male external catheter, with or without adhesive, disposable, each <1% 297 $6K
A4310 Insertion tray without drainage bag and without catheter (accessories only) <1% 1,074 $5K
A6248 Hydrogel dressing, wound filler, gel, per fluid ounce <1% 167 $5K
A4332 Lubricant, individual sterile packet, each <1% 607 $5K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 851 $5K
A6010 Collagen based wound filler, dry form, sterile, per gram of collagen <1% 17 $3K
E1399 Durable medical equipment, miscellaneous <1% 500 $3K
T4537 Incontinence product, protective underpad, reusable, bed size, each <1% 253 $3K
A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each <1% 18 $3K
A4217 Sterile water/saline, 500 ml <1% 645 $2K
A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard <1% 160 $2K
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 33 $2K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 106 $1K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 47 $924.80
A4333 Urinary catheter anchoring device, adhesive skin attachment, each <1% 156 $910.41
A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each <1% 12 $757.81
A4322 Irrigation syringe, bulb or piston, each <1% 212 $740.77
A4364 Adhesive, liquid or equal, any type, per oz <1% 136 $695.34
A4396 Ostomy belt with peristomal hernia support <1% 36 $622.57
A9270 Non-covered item or service <1% 1,343 $603.95
A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each <1% 15 $363.96
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 35 $342.43
A6442 Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard <1% 56 $302.94
A4402 Lubricant, per ounce <1% 72 $296.49
A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard <1% 15 $221.61
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 44 $208.21
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce <1% 16 $93.48
A6217 Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 14 $44.12

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 officialBERNOCCHI, PERRY (CEO)
Same official

Other billing entities under BERNOCCHI, PERRY

Full network →
ProviderLocationPaid
Byram Healthcare Centers, INC.Downers Grove, IL$142.28M
Byram Healthcare Centers, INC.Portland, OR$123.87M
Byram Healthcare Centers, INC.White Plains, NY$106.55M
Byram Healthcare Centers, INCWorcester, MA$25.23M
Byram Healthcare Centers, INC.Kennesaw, GA$13.29M
Byram Healthcare Centers, INC.Dallas, TX$9.40M
Apria Healthcare LLCConcord, CA$8.02M
Apria Healthcare LLCCentennial, CO$7.64M
Apria Healthcare LLCColorado Springs, CO$7.32M
Apria Healthcare LLCSharon Hill, PA$7.06M
Apria Healthcare LLCBolingbrook, IL$7.02M
Apria Healthcare LLCFife, WA$6.71M
Apria Healthcare LLCAlbuquerque, NM$5.79M
Apria Healthcare LLCLinthicum, MD$4.81M
Byram Healthcare Centers, INC.Clearwater, FL$4.47M
Apria Healthcare LLCPeoria, AZ$4.05M
Apria Healthcare LLCBakersfield, CA$3.30M
Apria Healthcare LLCFayetteville, NC$2.79M
Apria Healthcare LLCCromwell, CT$2.79M
Apria Healthcare LLCEffingham, IL$2.32M

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