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NPI 1215118302
NPI deactivated
1215118302
1215118302 was paid $1.21M by Medicaid between Jan 2018 and Apr 2022, across 23 billing codes. Its largest line is 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 — 40% of everything it billed.
33Billing provider info1215118302
33aNPI1215118302
33bProvider type—
28Total paid$1.21M
24GClaims32,455
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 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 | 8,179 | $322K | |
| 2019 | 7,474 | $264K | |
| 2020 | 7,078 | $262K | |
| 2021 | 7,282 | $259K | |
| 2022 | 2,442 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 5,810 | 5,657 | $487K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 29% | 5,630 | 5,611 | $349K |
| E0601 | Continuous positive airway pressure (cpap) device | 6.0% | 1,827 | 1,818 | $72K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.7% | 2,405 | 2,399 | $45K |
| E0570 | Nebulizer, with compressor | 3.0% | 1,930 | 1,918 | $37K |
| A4595 | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) | 2.5% | 1,280 | 1,257 | $31K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | 2.5% | 1,143 | 1,135 | $31K |
| A7030 | Full face mask used with positive airway pressure device, each | 2.0% | 596 | 589 | $24K |
| K0003 | Lightweight wheelchair | 1.9% | 1,196 | 1,181 | $23K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.8% | 1,684 | 1,672 | $22K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.7% | 577 | 565 | $20K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 1.4% | 1,527 | 1,514 | $16K |
11 more codes
| A7037 | Tubing used with positive airway pressure device | <1% | 1,096 | $11K |
| A7035 | Headgear used with positive airway pressure device | <1% | 812 | $10K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,176 | $10K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,220 | $4K |
| E0730 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | <1% | 109 | $3K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 72 | $3K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 106 | $3K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 146 | $2K |
| S5199 | Personal care item, nos, each | <1% | 227 | $2K |
| A4259 | Lancets, per box of 100 | <1% | 355 | $2K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 1,531 | $1K |
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.