Coram Healthcare Corporation of Greater DC
Coram Healthcare Corporation of Greater DC was paid $322K by Medicaid between Jan 2018 and Aug 2022, across 14 billing codes. Its largest line is 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 — 26% of everything it billed.
FALLS CHURCH, VA 22042
Next to other Home Health Agency providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,564 | $109K | |
| 2019 | 1,353 | $52K | |
| 2020 | 1,876 | $71K | |
| 2021 | 1,393 | $52K | |
| 2022 | 925 | $38K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 256 | 212 | $82K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 22% | 1,708 | 1,279 | $70K |
| 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 | 14% | 1,611 | 1,160 | $46K |
| 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 | 13% | 275 | 237 | $42K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.7% | 920 | 690 | $18K |
| 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 | 5.3% | 230 | 190 | $17K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 4.0% | 1,232 | 476 | $13K |
| 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 | 3.7% | 59 | 49 | $12K |
| 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 | 2.9% | 278 | 209 | $9K |
| 99601 | 2.2% | 109 | 40 | $7K | |
| B9002 | Enteral nutrition infusion pump, any type | 1.3% | 192 | 151 | $4K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 94 | 89 | $2K |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Coram Alternate Site Services INC | Denver, CO | $10.53M |
| Coram Healthcare Corporation of Greater New York | Cohoes, NY | $9.55M |
| Coram Alternate Site Services, INC. | Phoenix, AZ | $6.70M |
| Coram Healthcare Corporation of Southern Florida | Plantation, FL | $3.24M |
| Coram Healthcare Corporation of Northern California | Concord, CA | $3.02M |
| Coram Alternate Site Services INC | San Diego, CA | $2.57M |
| Coram Alternate Site Services, INC. | Portland, ME | $2.28M |
| Coram Healthcare Corporation of Greater DC | Columbia, MD | $554K |
| Coram Alternate Site Services INC | Fairfield, NJ | $409K |
| Coram Alternate Site Services, INC | Franklin, TN | $131K |
| Coram Healthcare Corporation of Greater New York | Amherst, NY | $55K |
| Coram Alternate Site Services INC | Bartlett, TN | $23K |
| Coram Alternate Site Services, INC. | Knoxville, TN | $121.35 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.