Twelvestone Medical, INC.

Twelvestone Medical, INC. was paid $52.62M by Medicaid between Jan 2018 and Jun 2024, across 61 billing codes. Its largest line is J1726, Injection, hydroxyprogesterone caproate, (makena), 10 mg — 39% of everything it billed.

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	41,406	$4.82M
2019	49,399	$9.65M
2020	65,713	$11.50M
2021	71,619	$9.26M
2022	111,938	$9.72M
2023	137,671	$7.45M
2024incomplete	6,126	$218K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	39%	27,741	7,165	$20.65M
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	17%	29,689	14,722	$9.13M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14%	106,901	33,873	$7.45M
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	7.3%	41,749	21,297	$3.86M
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	5.9%	19,463	8,930	$3.10M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2.9%	619	454	$1.50M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2.0%	43,358	11,230	$1.04M
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	1.5%	19,297	6,846	$798K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	1.4%	5,779	1,943	$738K
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	1.4%	67,232	3,429	$725K
B9002	Enteral nutrition infusion pump, any type	<1%	8,897	8,181	$513K
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%	12,685	4,724	$494K

49 more codes

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	<1%	7,514	$314K
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%	2,305	$314K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	<1%	11,403	$311K
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%	12,566	$272K
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%	3,947	$257K
J0585	Injection, onabotulinumtoxina, 1 unit	<1%	175	$163K
B4103	Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit	<1%	3,177	$140K
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	<1%	27,019	$114K
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	<1%	430	$94K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	1,791	$91K
S9501	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	2,000	$75K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	2,057	$71K
E0570	Nebulizer, with compressor	<1%	1,033	$62K
E0776	Iv pole	<1%	5,842	$52K
T4541	Incontinence product, disposable underpad, large, each	<1%	1,392	$39K
S5501	Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	5,105	$34K
E0601	Continuous positive airway pressure (cpap) device	<1%	840	$29K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	<1%	227	$24K
B4081	Nasogastric tubing with stylet	<1%	1,382	$20K
S5502	Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)	<1%	2,098	$16K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	<1%	239	$15K
B4100	Food thickener, administered orally, per ounce	<1%	762	$14K
A7030	Full face mask used with positive airway pressure device, each	<1%	292	$13K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	318	$10K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	900	$9K
J3370	Injection, vancomycin hcl, 500 mg	<1%	98	$9K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	637	$7K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	256	$5K
E0118	Crutch substitute, lower leg platform, with or without wheels, each	<1%	252	$5K
A7035	Headgear used with positive airway pressure device	<1%	316	$3K
A4606	Oxygen probe for use with oximeter device, replacement	<1%	283	$3K
A7037	Tubing used with positive airway pressure device	<1%	355	$3K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	<1%	49	$3K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	59	$3K
A7031	Face mask interface, replacement for full face mask, each	<1%	152	$3K
A7038	Filter, disposable, used with positive airway pressure device	<1%	859	$2K
A4628	Oral and/or oropharyngeal suction catheter, each	<1%	86	$2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	155	$1K
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	269	$1K
A7000	Canister, disposable, used with suction pump, each	<1%	134	$1K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	<1%	31	$973.00
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	<1%	394	$941.80
E0600	Respiratory suction pump, home model, portable or stationary, electric	<1%	51	$913.96
B4087	Gastrostomy/jejunostomy tube, standard, any material, any type, each	<1%	45	$892.18
A7002	Tubing, used with suction pump, each	<1%	142	$844.48
A7015	Aerosol mask, used with dme nebulizer	<1%	627	$604.92
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	214	$362.93
K0001	Standard wheelchair	<1%	16	$148.26
B4104	Additive for enteral formula (e.g., fiber)	<1%	168	$94.80

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 officialHARRELSON, TARA (MANAGER OF COMPLIANCE AND ACCREDITA)