Supplier
Integrated Care Systems INC
Integrated Care Systems INC was paid $1.99M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 13% of everything it billed.
33Billing provider infoINTEGRATED CARE SYSTEMS INC
VISALIA, CA 93291
VISALIA, CA 93291
33aNPI1255330403assigned 07/19/2005
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$1.99M
24GClaims145,690
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Infusion Therapy Pharmacy providers in California
Rank by total paid#9 of 17
Median peer was paid$1.99M
This provider vs. median1.0×
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 | 30,943 | $230K | |
| 2019 | 27,938 | $252K | |
| 2020 | 22,388 | $262K | |
| 2021 | 20,835 | $364K | |
| 2022 | 12,866 | $238K | |
| 2023 | 16,808 | $388K | |
| 2024incomplete | 13,912 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 13% | 41,135 | 8,220 | $265K |
| J3490 | Unclassified drugs | 10% | 9,423 | 788 | $206K |
| E0791 | Parenteral infusion pump, stationary, single or multi-channel | 9.3% | 2,455 | 2,385 | $185K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 9.2% | 1,130 | 621 | $184K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 8.6% | 5,899 | 2,265 | $172K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 6.5% | 10,249 | 2,081 | $130K |
| 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 | 3.4% | 1,353 | 1,146 | $68K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 3.4% | 485 | 169 | $67K |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | 3.2% | 426 | 424 | $64K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.2% | 1,988 | 1,606 | $63K |
| 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 | 2.9% | 633 | 532 | $58K |
| 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 | 2.7% | 143 | 74 | $54K |
36 more codes
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | 2.3% | 5,785 | $46K |
| 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 | 2.3% | 1,207 | $46K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 2.3% | 4,718 | $45K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.2% | 2,239 | $44K |
| 99601 | 2.1% | 423 | $41K | |
| S9374 | Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.8% | 173 | $37K |
| B9999 | Noc for parenteral supplies | 1.5% | 4,156 | $31K |
| B9002 | Enteral nutrition infusion pump, any type | 1.5% | 1,602 | $29K |
| E0776 | Iv pole | 1.3% | 4,548 | $26K |
| A4322 | Irrigation syringe, bulb or piston, each | 1.2% | 1,694 | $24K |
| T5999 | Supply, not otherwise specified | <1% | 1,571 | $18K |
| A4217 | Sterile water/saline, 500 ml | <1% | 4,323 | $17K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,317 | $13K |
| S1015 | Iv tubing extension set | <1% | 7,421 | $13K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 3,074 | $12K |
| A4657 | Syringe, with or without needle, each | <1% | 9,725 | $8K |
| A4245 | Alcohol wipes, per box | <1% | 6,533 | $7K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 84 | $5K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 297 | $5K |
| B9998 | Noc for enteral supplies | <1% | 254 | $4K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 228 | $2K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 729 | $2K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 16 | $1K |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | <1% | 2,071 | $872.89 |
| A4212 | Non-coring needle or stylet with or without catheter | <1% | 144 | $808.84 |
| A4927 | Gloves, non-sterile, per 100 | <1% | 499 | $791.48 |
| A4649 | Surgical supply; miscellaneous | <1% | 803 | $531.62 |
| A4215 | Needle, sterile, any size, each | <1% | 2,038 | $249.24 |
| A6403 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 26 | $241.39 |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 233 | $177.83 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 618 | $165.49 |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 440 | $158.25 |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 145 | $101.83 |
| K0603 | Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each | <1% | 151 | $40.17 |
| J7799 | Noc drugs, other than inhalation drugs, administered through dme | 0% | 44 | $0.00 |
| J0610 | Injection, calcium gluconate (fresenius kabi), per 10 ml | 0% | 42 | $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 officialKOMOTO, BRIAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Komoto Pharmacy, INC. | Delano, CA | $153K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.