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NPI 1316046915
NPI deactivated
1316046915
1316046915 was paid $4.17M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 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 — 30% of everything it billed.
33Billing provider info1316046915
33aNPI1316046915
33bProvider type—
28Total paid$4.17M
24GClaims30,027
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,661 | $745K | |
| 2019 | 4,511 | $558K | |
| 2020 | 3,831 | $456K | |
| 2021 | 3,751 | $474K | |
| 2022 | 3,622 | $486K | |
| 2023 | 4,095 | $643K | |
| 2024incomplete | 4,556 | $808K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 3,188 | 2,793 | $1.23M |
| 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 | 21% | 6,719 | 6,030 | $876K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 18% | 6,471 | 5,212 | $750K |
| 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 | 7.2% | 1,193 | 1,021 | $299K |
| B9002 | Enteral nutrition infusion pump, any type | 5.3% | 3,076 | 2,777 | $220K |
| 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 | 4.8% | 1,401 | 1,156 | $200K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 3.5% | 542 | 237 | $147K |
| 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 | 3.0% | 1,336 | 1,055 | $123K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.6% | 1,514 | 1,220 | $107K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | 1.4% | 361 | 329 | $60K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1.4% | 1,505 | 1,437 | $59K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 1.3% | 1,943 | 853 | $53K |
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.