1093716813

1093716813 was paid $1.06M by Medicaid between Jan 2018 and Aug 2022, across 2 billing codes. Its largest line is 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 — 91% of everything it billed.

33Billing provider info1093716813

33aNPI1093716813

33bProvider type—

28Total paid$1.06M

24GClaims2,770

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2022

Auditor's notes

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

Single-Code Concentration91% of spending on code S9340 with only 2 total codes billed. Highly concentrated billing profile.

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	91%	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	9.5%	227	107	$100K

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.