Supplier
C R IV Service INC
C R IV Service INC was paid $5.75M by Medicaid between Jan 2018 and Dec 2024, across 19 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 — 20% of everything it billed.
33Billing provider infoC R IV SERVICE INC
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
33aNPI1104919638assigned 10/02/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$5.75M
24GClaims48,068
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Iowa
Rank by total paid#2 of 344
Median peer was paid$29K
This provider vs. median199×
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.
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 | 4,823 | $447K | |
| 2019 | 5,338 | $592K | |
| 2020 | 5,933 | $790K | |
| 2021 | 6,762 | $758K | |
| 2022 | 7,247 | $861K | |
| 2023 | 9,497 | $1.14M | |
| 2024incomplete | 8,468 | $1.16M |
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 | 20% | 8,303 | 4,955 | $1.16M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 17% | 4,595 | 1,023 | $1.01M |
| 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 | 12% | 2,238 | 1,416 | $662K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 11% | 3,319 | 2,040 | $613K |
| 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 | 11% | 4,739 | 2,902 | $606K |
| B9998 | Noc for enteral supplies | 9.6% | 6,335 | 5,276 | $553K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 5.2% | 2,019 | 1,858 | $301K |
| 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 | 3.8% | 2,732 | 1,634 | $220K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.5% | 2,468 | 1,470 | $200K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.8% | 2,584 | 1,574 | $164K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 1.9% | 6,446 | 1,825 | $111K |
| B9002 | Enteral nutrition infusion pump, any type | 1.0% | 718 | 641 | $59K |
7 more codes
| 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 | <1% | 398 | $46K |
| 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 | <1% | 441 | $31K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 411 | $11K |
| E0780 | Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours | <1% | 85 | $8K |
| E0776 | Iv pole | <1% | 73 | $1K |
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 0% | 43 | $0.00 |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 0% | 121 | $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 officialJENSEN, MICHELLE (CEO)
| Provider | Location | Paid |
|---|---|---|
| C R Pharmacy Service INC | Cedar Rapids, IA | $2.37M |
| C R Pharmacy Service INC | Coralville, IA | $1.14M |
| C R Pharmacy Service INC | Davenport, IA | $537K |
| C R Pharmacy Service INC | Clinton, IA | $192K |
| C R Pharmacy Service INC | Cedar Rapids, IA | $171K |
| C R Pharmacy Service INC | Cedar Rapids, IA | $48.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.