Supplier
Innovative Supply Group, LLC
Innovative Supply Group, LLC was paid $3.06M by Medicaid between Jan 2018 and Dec 2024, across 55 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 — 27% of everything it billed.
33Billing provider infoINNOVATIVE SUPPLY GROUP, LLC
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1164756755assigned 09/29/2009
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$3.06M
24GClaims416,022
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in New Jersey
Rank by total paid#4 of 8
Median peer was paid$1.15M
This provider vs. median2.7×
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 | 2,391 | $6K | |
| 2019 | 22,662 | $144K | |
| 2020 | 44,227 | $305K | |
| 2021 | 64,371 | $518K | |
| 2022 | 82,372 | $647K | |
| 2023 | 91,846 | $703K | |
| 2024incomplete | 108,153 | $736K |
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 | 27% | 54,462 | 31,877 | $830K |
| 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 | 20% | 35,604 | 21,927 | $609K |
| 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 | 16% | 16,257 | 8,911 | $499K |
| B9002 | Enteral nutrition infusion pump, any type | 7.8% | 25,130 | 20,214 | $239K |
| 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 | 5.9% | 10,332 | 5,852 | $181K |
| A4623 | Tracheostomy, inner cannula | 3.3% | 13,787 | 11,062 | $100K |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 2.6% | 61,360 | 46,553 | $79K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.4% | 7,343 | 4,904 | $73K |
| 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 | 1.9% | 808 | 513 | $57K |
| A4629 | Tracheostomy care kit for established tracheostomy | 1.5% | 8,761 | 6,753 | $47K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 1.4% | 65,929 | 49,034 | $43K |
| E0776 | Iv pole | 1.2% | 30,277 | 24,619 | $37K |
43 more codes
| A7526 | Tracheostomy tube collar/holder, each | 1.0% | 11,681 | $31K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 7,287 | $28K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 5,437 | $25K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 8,859 | $18K |
| A4417 | Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each | <1% | 1,059 | $17K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | <1% | 2,232 | $14K |
| A5061 | Ostomy pouch, drainable; with barrier attached, (1 piece), each | <1% | 3,691 | $13K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 4,345 | $13K |
| 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% | 1,350 | $12K |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | <1% | 2,241 | $12K |
| A5056 | Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each | <1% | 1,090 | $10K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 2,621 | $9K |
| A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each | <1% | 888 | $8K |
| A4424 | Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each | <1% | 1,429 | $7K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 1,855 | $6K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 735 | $5K |
| A4416 | Ostomy pouch, closed, with barrier attached, with filter (1 piece), each | <1% | 664 | $4K |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | <1% | 114 | $4K |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | <1% | 5,116 | $4K |
| A4415 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each | <1% | 952 | $3K |
| A4334 | Urinary catheter anchoring device, leg strap, each | <1% | 8,345 | $3K |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | <1% | 923 | $3K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 4,905 | $3K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 543 | $2K |
| A5057 | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each | <1% | 238 | $2K |
| A4410 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each | <1% | 645 | $2K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 1,204 | $2K |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 62 | $2K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 693 | $1K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 529 | $1K |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each | <1% | 837 | $953.03 |
| A4354 | Insertion tray with drainage bag but without catheter | <1% | 1,035 | $595.94 |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 1,258 | $581.73 |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | <1% | 401 | $426.23 |
| A4315 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone | <1% | 175 | $195.02 |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 52 | $129.88 |
| A5054 | Ostomy pouch, closed; for use on barrier with flange (2 piece), each | <1% | 46 | $108.01 |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | <1% | 68 | $94.31 |
| A4311 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | <1% | 67 | $59.37 |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 179 | $50.39 |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 14 | $44.07 |
| A4373 | Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each | <1% | 14 | $27.10 |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | <1% | 93 | $21.08 |
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 officialLEBOVICS, MICHAEL (VICE PRESIDENT)