Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Rocky Mountain Homecare, INC.

Rocky Mountain Homecare, INC. was paid $6.67M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 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 — 24% of everything it billed.

33Billing provider infoROCKY MOUNTAIN HOMECARE, INC.
ARVADA, CO 80002
33aNPI1174501860assigned 01/04/2006
28Total paid$6.67M
24GClaims58,025
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Colorado

Rank by total paid#26 of 645
Median peer was paid$21K
This provider vs. median324×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201819,716$1.98M
201916,966$1.61M
20205,087$539K
20214,347$685K
20224,199$690K
20233,919$583K
2024incomplete3,791$581K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 24% 3,696 2,258 $1.58M
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 13% 5,786 4,522 $878K
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 9.2% 1,923 1,203 $612K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 8.7% 3,119 2,048 $581K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 6.2% 3,527 2,649 $415K
A4554 Disposable underpads, all sizes 6.1% 6,831 5,883 $410K
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 5.1% 1,232 629 $341K
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 3.6% 428 217 $242K
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 3.5% 2,208 1,317 $231K
A4927 Gloves, non-sterile, per 100 2.8% 7,482 6,202 $187K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 2.4% 1,335 1,042 $159K
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 1.8% 1,000 550 $123K
31 more codes
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 1.8% 5,164 $119K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1.7% 2,938 $112K
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 1.6% 515 $105K
A4553 Non-disposable underpads, all sizes 1.3% 386 $86K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.1% 1,085 $72K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 1.0% 734 $69K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 709 $53K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 642 $51K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 687 $42K
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each <1% 596 $35K
B9998 Noc for enteral supplies <1% 856 $35K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 382 $31K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,923 $29K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 108 $17K
A9286 Hygienic item or device, disposable or non-disposable, any type, each <1% 557 $16K
B9002 Enteral nutrition infusion pump, any type <1% 77 $7K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each <1% 133 $7K
B4102 Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 106 $6K
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% 21 $5K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 322 $4K
A4209 Syringe with needle, sterile 5 cc or greater, each <1% 595 $2K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 13 $2K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code <1% 205 $2K
A4322 Irrigation syringe, bulb or piston, each <1% 68 $2K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 52 $1K
A4245 Alcohol wipes, per box <1% 92 $631.00
A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz. <1% 65 $425.29
T5999 Supply, not otherwise specified <1% 133 $379.41
A4450 Tape, non-waterproof, per 18 square inches <1% 65 $86.88
A4244 Alcohol or peroxide, per pint <1% 182 $75.27
A4649 Surgical supply; miscellaneous 0% 47 $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.

From NPPES

Who's on the registration

Authorized officialGALLEGOS, DONNA (OWNER)