1134226178

1134226178 was paid $2.67M by Medicaid between Jan 2018 and Jun 2024, across 28 billing codes. Its largest line is B5200, Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix — 41% of everything it billed.

33Billing provider info1134226178

33aNPI1134226178

33bProvider type—

28Total paid$2.67M

24GClaims19,638

24DCodes billed28

24AFirst – last monthJan 2018 – Jun 2024

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	1,003	$15K
2019	781	$12K
2020	2,576	$263K
2021	7,567	$1.13M
2022	5,325	$1.03M
2023	1,863	$162K
2024incomplete	523	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B5200	Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix	41%	2,849	650	$1.08M
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	14%	1,495	175	$367K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	14%	2,355	578	$365K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	5.6%	500	180	$149K
B4224	Parenteral nutrition administration kit, per day	4.9%	1,394	310	$132K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4.1%	1,436	834	$109K
A4211	Supplies for self-administered injections	3.0%	1,288	363	$79K
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	2.7%	146	115	$73K
S9372	Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)	2.1%	1,346	153	$57K
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	1.9%	1,515	1,257	$52K
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	1.9%	1,005	882	$51K
B4220	Parenteral nutrition supply kit; premix, per day	1.6%	1,375	310	$43K

16 more codes

B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1.6%	1,565	$43K
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	1.5%	197	$39K
99601		<1%	283	$14K
B9004	Parenteral nutrition infusion pump, portable	<1%	43	$8K
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	<1%	28	$3K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	<1%	30	$864.00
J1644	Injection, heparin sodium, per 1000 units	<1%	50	$751.26
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	<1%	28	$417.55
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%	12	$335.25
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	<1%	14	$222.21
A4927	Gloves, non-sterile, per 100	<1%	112	$151.52
A4455	Adhesive remover or solvent (for tape, cement or other adhesive), per ounce	<1%	53	$24.06
A4245	Alcohol wipes, per box	<1%	40	$23.63
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	25	$15.40
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	0%	400	$0.00
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	0%	54	$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.