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NPI 1093814774
NPI deactivated
1093814774
1093814774 was paid $25.75M by Medicaid between Jan 2018 and Dec 2022, across 92 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 10% of everything it billed.
33Billing provider info1093814774
33aNPI1093814774
33bProvider type—
28Total paid$25.75M
24GClaims433,350
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2022
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 | 106,243 | $5.77M | |
| 2019 | 85,498 | $5.09M | |
| 2020 | 82,411 | $4.80M | |
| 2021 | 83,502 | $5.25M | |
| 2022 | 75,696 | $4.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 10% | 73,662 | 68,846 | $2.61M |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 8.7% | 3,798 | 3,474 | $2.24M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 7.4% | 32,120 | 30,409 | $1.90M |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 6.8% | 13,072 | 12,430 | $1.75M |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.3% | 13,770 | 13,104 | $1.61M |
| T4541 | Incontinence product, disposable underpad, large, each | 5.9% | 36,364 | 34,752 | $1.53M |
| 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 | 5.1% | 6,355 | 5,446 | $1.32M |
| 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 | 4.2% | 9,160 | 7,977 | $1.07M |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 4.0% | 7,660 | 7,304 | $1.02M |
| 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 | 3.9% | 2,222 | 1,820 | $1.00M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 3.8% | 7,130 | 6,727 | $983K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 3.3% | 17,788 | 16,494 | $839K |
80 more codes
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 3.2% | 26,357 | $814K |
| 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 | 2.5% | 4,905 | $650K |
| A4927 | Gloves, non-sterile, per 100 | 2.5% | 32,704 | $637K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 2.2% | 61,784 | $578K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 2.2% | 7,602 | $557K |
| 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 | 2.1% | 3,432 | $541K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 1.7% | 3,431 | $428K |
| B9998 | Noc for enteral supplies | 1.6% | 3,056 | $421K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 1.5% | 2,589 | $374K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 1,398 | $304K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.1% | 2,572 | $280K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 1,436 | $213K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 1,246 | $181K |
| E1392 | Portable oxygen concentrator, rental | <1% | 4,818 | $174K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 1,684 | $165K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 1,376 | $132K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 2,790 | $131K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 680 | $125K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 1,215 | $111K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,091 | $106K |
| A4335 | Incontinence supply; miscellaneous | <1% | 10,867 | $82K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 1,925 | $66K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 1,151 | $62K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 982 | $60K |
| 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% | 301 | $57K |
| A6533 | Gradient compression stocking, thigh length, 18-30 mmhg, each | <1% | 376 | $56K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 1,603 | $55K |
| E0570 | Nebulizer, with compressor | <1% | 2,373 | $54K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 481 | $40K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 356 | $38K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 1,324 | $32K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 254 | $28K |
| A7035 | Headgear used with positive airway pressure device | <1% | 1,373 | $28K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 734 | $25K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,995 | $24K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 1,183 | $23K |
| K0001 | Standard wheelchair | <1% | 703 | $22K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 4,591 | $17K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 1,326 | $16K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 82 | $15K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 988 | $14K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 289 | $13K |
| A4670 | Automatic blood pressure monitor | <1% | 125 | $13K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 389 | $11K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 1,001 | $11K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 949 | $9K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 59 | $9K |
| A7002 | Tubing, used with suction pump, each | <1% | 1,368 | $8K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,305 | $7K |
| E0245 | Tub stool or bench | <1% | 105 | $7K |
| 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% | 28 | $6K |
| K0003 | Lightweight wheelchair | <1% | 187 | $6K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 15 | $5K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 576 | $4K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 59 | $4K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 28 | $3K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 29 | $3K |
| A4217 | Sterile water/saline, 500 ml | <1% | 86 | $2K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 102 | $2K |
| E0156 | Seat attachment, walker | <1% | 147 | $2K |
| K0004 | High strength, lightweight wheelchair | <1% | 131 | $2K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 408 | $1K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 88 | $972.12 |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 74 | $949.77 |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 23 | $920.23 |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | <1% | 95 | $891.04 |
| E0244 | Raised toilet seat | <1% | 15 | $717.50 |
| A4402 | Lubricant, per ounce | <1% | 38 | $699.54 |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 337 | $682.27 |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 27 | $550.99 |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 356 | $432.36 |
| A7037 | Tubing used with positive airway pressure device | <1% | 19 | $402.90 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 36 | $290.40 |
| A4332 | Lubricant, individual sterile packet, each | <1% | 26 | $236.27 |
| A4615 | Cannula, nasal | <1% | 77 | $210.00 |
| A4616 | Tubing (oxygen), per foot | <1% | 17 | $208.86 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 111 | $197.63 |
| A4657 | Syringe, with or without needle, each | <1% | 16 | $186.48 |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 336 | $152.02 |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 38 | $41.07 |
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.