1154499846

1154499846 was paid $441K by Medicaid between Jan 2018 and Sep 2019, across 7 billing codes. Its largest line is S9340, Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 78% of everything it billed.

33Billing provider info1154499846

33aNPI1154499846

33bProvider type—

28Total paid$441K

24GClaims6,639

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2019

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	1,940	$233K
2019	4,699	$208K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9340	Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem	78%	5,525	391	$342K
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%	489	310	$63K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4.0%	206	119	$18K
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	3.6%	30	12	$16K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	<1%	161	80	$2K
J7050	Infusion, normal saline solution, 250 cc	<1%	143	12	$126.50
J7030	Infusion, normal saline solution , 1000 cc	<1%	85	12	$108.29

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.