Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Byram Healthcare Centers, INC

Byram Healthcare Centers, INC was paid $25.23M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is A4353, Intermittent urinary catheter, with insertion supplies — 9.1% of everything it billed.

33Billing provider infoBYRAM HEALTHCARE CENTERS, INC
WORCESTER, MA 01602
33aNPI1346295953assigned 05/23/2006
28Total paid$25.23M
24GClaims502,974
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts

Rank by total paid#4 of 297
Median peer was paid$0.00
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BERNOCCHI, PERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201846,824$2.57M
201956,286$2.96M
202071,817$3.42M
202166,350$3.53M
202276,657$3.98M
202395,673$4.63M
2024incomplete89,367$4.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4353 Intermittent urinary catheter, with insertion supplies 9.1% 3,352 3,114 $2.29M
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 8.6% 6,649 6,440 $2.18M
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 8.3% 9,564 8,917 $2.09M
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 4.5% 7,455 7,045 $1.13M
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 4.0% 18,101 17,620 $1.01M
A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each 3.5% 1,503 1,403 $872K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 3.3% 11,430 10,661 $842K
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 2.9% 9,497 9,023 $724K
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 2.8% 3,514 3,312 $715K
E0784 External ambulatory infusion pump, insulin 2.7% 2,128 1,926 $686K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 2.3% 8,528 8,333 $570K
A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each 2.2% 7,515 7,281 $567K
129 more codes
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 2.1% 9,588 $527K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each 1.7% 11,903 $420K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 1.7% 4,896 $419K
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 1.6% 2,209 $403K
A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each 1.6% 3,286 $401K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 1.6% 2,721 $394K
E1399 Durable medical equipment, miscellaneous 1.5% 4,072 $374K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each 1.3% 8,670 $331K
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 1.3% 10,866 $318K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each 1.3% 6,407 $316K
A4927 Gloves, non-sterile, per 100 1.1% 17,538 $283K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1.1% 3,922 $269K
T4541 Incontinence product, disposable underpad, large, each <1% 8,049 $245K
A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches <1% 2,412 $236K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 2,662 $235K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 6,716 $226K
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce <1% 9,675 $209K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 2,218 $195K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 2,576 $191K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 4,386 $189K
A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each <1% 3,004 $186K
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories <1% 435 $185K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 5,804 $173K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 2,289 $167K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 2,747 $167K
A5121 Skin barrier; solid, 6 x 6 or equivalent, each <1% 2,675 $164K
A4230 Infusion set for external insulin pump, non needle cannula type <1% 1,293 $156K
A4456 Adhesive remover, wipes, any type, each <1% 17,437 $156K
A4349 Male external catheter, with or without adhesive, disposable, each <1% 2,732 $156K
A5120 Skin barrier, wipes or swabs, each <1% 24,742 $154K
A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each <1% 3,528 $153K
A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each <1% 2,226 $143K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 15,795 $137K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 16,968 $131K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 2,262 $130K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 3,666 $128K
A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each <1% 3,987 $125K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 25,384 $123K
A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each <1% 2,051 $122K
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 3,005 $115K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 2,618 $103K
A4452 Tape, waterproof, per 18 square inches <1% 13,595 $103K
A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each <1% 996 $98K
A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each <1% 2,257 $98K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 787 $90K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 1,064 $90K
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard <1% 4,861 $88K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 7,180 $84K
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system <1% 146 $81K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 829 $80K
A4450 Tape, non-waterproof, per 18 square inches <1% 13,142 $64K
A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each <1% 987 $62K
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard <1% 2,094 $61K
A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each <1% 789 $60K
A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each <1% 1,843 $58K
A6260 Wound cleansers, any type, any size <1% 2,929 $55K
A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard <1% 1,149 $54K
A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce <1% 1,222 $47K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each <1% 8,804 $46K
A4232 Syringe with needle for external insulin pump, sterile, 3 cc <1% 1,201 $44K
A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 738 $43K
A4217 Sterile water/saline, 500 ml <1% 5,364 $41K
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 2,304 $39K
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard <1% 409 $38K
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 889 $38K
A4371 Ostomy skin barrier, powder, per oz <1% 9,567 $37K
A4310 Insertion tray without drainage bag and without catheter (accessories only) <1% 4,120 $37K
A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each <1% 282 $35K
A4224 Supplies for maintenance of insulin infusion catheter, per week <1% 2,762 $31K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 3,271 $30K
A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each <1% 381 $30K
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system <1% 106 $30K
A6248 Hydrogel dressing, wound filler, gel, per fluid ounce <1% 1,459 $29K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 257 $28K
A6457 Tubular dressing with or without elastic, any width, per linear yard <1% 2,410 $26K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 2,716 $26K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 254 $26K
A4373 Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each <1% 525 $25K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 1,575 $23K
A4402 Lubricant, per ounce <1% 3,149 $22K
A4367 Ostomy belt, each <1% 4,881 $17K
A4332 Lubricant, individual sterile packet, each <1% 2,040 $17K
T4537 Incontinence product, protective underpad, reusable, bed size, each <1% 1,044 $17K
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard <1% 395 $14K
A4322 Irrigation syringe, bulb or piston, each <1% 1,930 $14K
A4396 Ostomy belt with peristomal hernia support <1% 750 $13K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 594 $13K
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each <1% 2,808 $12K
A6220 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 198 $12K
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 220 $12K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 4,242 $12K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system <1% 227 $11K
A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each <1% 115 $11K
A6217 Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 2,026 $11K
A4247 Betadine or iodine swabs/wipes, per box <1% 1,239 $9K
A6022 Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each <1% 42 $8K
A4333 Urinary catheter anchoring device, adhesive skin attachment, each <1% 2,569 $8K
A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz. <1% 1,152 $8K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver <1% 129 $7K
A4320 Irrigation tray with bulb or piston syringe, any purpose <1% 1,020 $7K
A4245 Alcohol wipes, per box <1% 1,428 $6K
A4670 Automatic blood pressure monitor <1% 87 $5K
A4335 Incontinence supply; miscellaneous <1% 243 $5K
A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard <1% 557 $4K
A5054 Ostomy pouch, closed; for use on barrier with flange (2 piece), each <1% 80 $4K
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 154 $4K
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% 109 $3K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 1,385 $3K
A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 359 $3K
A4259 Lancets, per box of 100 <1% 922 $3K
A4334 Urinary catheter anchoring device, leg strap, each <1% 1,288 $3K
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) <1% 640 $2K
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 <1% 45 $2K
B9998 Noc for enteral supplies <1% 15 $2K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 17 $2K
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 12 $2K
A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each <1% 26 $1K
A4331 Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each <1% 434 $1K
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce <1% 141 $1K
A4930 Gloves, sterile, per pair <1% 54 $1K
A4649 Surgical supply; miscellaneous <1% 42 $923.80
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 41 $439.09
A6218 Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 28 $432.38
A6442 Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard <1% 41 $369.99
A6203 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 12 $340.78
A6407 Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard <1% 12 $285.60
A5112 Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each <1% 14 $117.32
A4364 Adhesive, liquid or equal, any type, per oz <1% 14 $106.21
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 0% 84 $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 officialBERNOCCHI, PERRY (CEO & PRESIDENT)
Parent organizationBYRAM HOLDINGS I, INC.
Same official

Other billing entities under BERNOCCHI, PERRY

Full network →
ProviderLocationPaid
Byram Healthcare Centers, INC.Downers Grove, IL$142.28M
Byram Healthcare Centers, INC.Portland, OR$123.87M
Byram Healthcare Centers, INC.White Plains, NY$106.55M
Byram Healthcare Centers, INC.Kennesaw, GA$13.29M
Byram Healthcare Centers, INC.Dallas, TX$9.40M
Apria Healthcare LLCConcord, CA$8.02M
Apria Healthcare LLCCentennial, CO$7.64M
Apria Healthcare LLCColorado Springs, CO$7.32M
Apria Healthcare LLCSharon Hill, PA$7.06M
Apria Healthcare LLCBolingbrook, IL$7.02M
Apria Healthcare LLCFife, WA$6.71M
Apria Healthcare LLCAlbuquerque, NM$5.79M
Apria Healthcare LLCLinthicum, MD$4.81M
Byram Healthcare Centers, INC.Clearwater, FL$4.47M
Apria Healthcare LLCPeoria, AZ$4.05M
Apria Healthcare LLCBakersfield, CA$3.30M
Apria Healthcare LLCFayetteville, NC$2.79M
Apria Healthcare LLCCromwell, CT$2.79M
Apria Healthcare LLCEffingham, IL$2.32M
Apria Healthcare LLCEl Segundo, CA$2.31M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.