1326095852

1326095852 was paid $1.23M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 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 — 39% of everything it billed.

33Billing provider info1326095852

33aNPI1326095852

33bProvider type—

28Total paid$1.23M

24GClaims15,059

24DCodes billed11

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	2,888	$188K
2019	2,727	$213K
2020	2,881	$244K
2021	2,205	$237K
2022	3,389	$166K
2023	540	$92K
2024incomplete	429	$89K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	1,449	1,084	$483K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	32%	2,977	2,567	$387K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	10%	1,823	1,342	$129K
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	7.2%	539	419	$88K
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	5.2%	185	148	$64K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	3.3%	6,648	1,152	$40K
B9002	Enteral nutrition infusion pump, any type	1.8%	1,065	562	$22K
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	<1%	61	54	$7K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	152	78	$3K
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	26	25	$3K
S1016	Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel	<1%	134	40	$2K

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.