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NPI 1184636359
NPI deactivated
1184636359
1184636359 was paid $2.11M by Medicaid between Jan 2018 and Jul 2022, across 17 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 — 19% of everything it billed.
33Billing provider info1184636359
33aNPI1184636359
33bProvider type—
28Total paid$2.11M
24GClaims17,514
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2022
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 | 4,610 | $528K | |
| 2019 | 4,070 | $500K | |
| 2020 | 4,488 | $585K | |
| 2021 | 3,203 | $360K | |
| 2022 | 1,143 | $138K |
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 | 19% | 2,558 | 2,064 | $409K |
| 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% | 2,843 | 1,703 | $289K |
| 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 | 10% | 338 | 257 | $217K |
| 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 | 9.6% | 1,655 | 1,019 | $204K |
| 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 | 8.6% | 496 | 330 | $182K |
| 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 | 8.5% | 1,545 | 1,205 | $180K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 7.6% | 1,663 | 662 | $160K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4.6% | 1,156 | 950 | $97K |
| 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 | 4.1% | 197 | 176 | $86K |
| B9998 | Noc for enteral supplies | 3.8% | 1,063 | 840 | $80K |
| 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 | 3.0% | 172 | 114 | $63K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2.4% | 2,703 | 1,229 | $50K |
5 more codes
| 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 | 2.2% | 283 | $47K |
| B9002 | Enteral nutrition infusion pump, any type | 1.4% | 538 | $30K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 220 | $15K |
| 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% | 17 | $2K |
| K0552 | Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each | <1% | 67 | $107.14 |
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.