Medicaid Provider Spending

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

1093716813

NPI: 1093716813

Deactivated NPI · This NPI was deactivated on 11/01/2022.
Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

91% of spending on code S9340 with only 2 total codes billed. Highly concentrated billing profile.

$1.06M
Total Medicaid Paid
2,770
Total Claims
2,343
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 502 $208K
2019 684 $263K
2020 628 $237K
2021 628 $227K
2022 328 $121K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9340 Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 2,543 2,236 $956K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 227 107 $100K