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NPI 1396747200
NPI deactivated
1396747200
1396747200 was paid $1.18M by Medicaid between Jan 2018 and Feb 2021, across 31 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 44% of everything it billed.
33Billing provider info1396747200
33aNPI1396747200
33bProvider type—
28Total paid$1.18M
24GClaims12,830
24DCodes billed31
24AFirst – last monthJan 2018 – Feb 2021
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 | 4,772 | $468K | |
| 2019 | 4,961 | $485K | |
| 2020 | 3,067 | $225K | |
| 2021 | 30 | $7.45 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 44% | 915 | 700 | $517K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 10% | 749 | 717 | $120K |
| E0601 | Continuous positive airway pressure (cpap) device | 7.4% | 1,609 | 1,601 | $87K |
| 99601 | 7.0% | 832 | 222 | $82K | |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 6.7% | 962 | 923 | $79K |
| 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 | 4.6% | 1,164 | 1,132 | $54K |
| 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 | 3.8% | 459 | 450 | $44K |
| 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 | 3.5% | 481 | 463 | $41K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.9% | 200 | 200 | $22K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 1.8% | 345 | 331 | $22K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 1.5% | 485 | 483 | $18K |
| A4554 | Disposable underpads, all sizes | 1.2% | 329 | 317 | $14K |
19 more codes
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.2% | 843 | $14K |
| 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 | 1.1% | 84 | $13K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 179 | $9K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 189 | $8K |
| A7035 | Headgear used with positive airway pressure device | <1% | 702 | $8K |
| A7037 | Tubing used with positive airway pressure device | <1% | 711 | $6K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 51 | $5K |
| K0001 | Standard wheelchair | <1% | 138 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 39 | $2K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 187 | $2K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 24 | $2K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 689 | $2K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 193 | $1K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 12 | $867.73 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 205 | $767.34 |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 12 | $238.60 |
| E0156 | Seat attachment, walker | <1% | 13 | $173.59 |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 13 | $118.58 |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | <1% | 16 | $40.32 |
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.