1437243722

1437243722 was paid $3.58M by Medicaid between Jan 2018 and Feb 2022, across 43 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 12% of everything it billed.

33Billing provider info1437243722

33aNPI1437243722

33bProvider type—

28Total paid$3.58M

24GClaims75,420

24DCodes billed43

24AFirst – last monthJan 2018 – Feb 2022

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	27,507	$1.26M
2019	22,171	$1.10M
2020	17,565	$842K
2021	7,409	$355K
2022	768	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	12%	12,273	11,238	$437K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	9.0%	5,423	4,980	$321K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	8.3%	11,706	6,182	$297K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	7.6%	2,027	1,884	$274K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	7.0%	2,067	1,903	$253K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	5.5%	1,495	1,313	$199K
T4541	Incontinence product, disposable underpad, large, each	5.5%	4,417	4,103	$198K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	5.5%	2,739	2,226	$197K
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	4.9%	1,316	1,109	$177K
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	4.1%	1,133	913	$147K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4.0%	1,127	1,056	$145K
T4537	Incontinence product, protective underpad, reusable, bed size, each	3.9%	3,243	2,929	$142K

31 more codes

B9998	Noc for enteral supplies	3.5%	1,113	$124K
A4927	Gloves, non-sterile, per 100	3.2%	6,435	$113K
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	2.8%	619	$100K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2.4%	2,697	$86K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	2.1%	7,903	$76K
E1392	Portable oxygen concentrator, rental	1.5%	1,909	$53K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	1.3%	255	$48K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1.3%	81	$46K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1.2%	358	$43K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	<1%	330	$33K
A4335	Incontinence supply; miscellaneous	<1%	2,273	$17K
A4322	Irrigation syringe, bulb or piston, each	<1%	328	$14K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	<1%	106	$12K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	<1%	42	$7K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	412	$5K
A4213	Syringe, sterile, 20 cc or greater, each	<1%	117	$4K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	49	$4K
A7038	Filter, disposable, used with positive airway pressure device	<1%	665	$2K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	53	$2K
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	<1%	176	$2K
E0601	Continuous positive airway pressure (cpap) device	<1%	18	$2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	59	$495.85
A4657	Syringe, with or without needle, each	<1%	16	$397.63
A7031	Face mask interface, replacement for full face mask, each	<1%	13	$397.07
A9901	Dme delivery, set up, and/or dispensing service component of another hcpcs code	<1%	229	$369.76
A7000	Canister, disposable, used with suction pump, each	<1%	30	$361.44
A7002	Tubing, used with suction pump, each	<1%	64	$349.81
E0570	Nebulizer, with compressor	<1%	12	$303.63
A7035	Headgear used with positive airway pressure device	<1%	13	$259.76
A4628	Oral and/or oropharyngeal suction catheter, each	<1%	20	$236.94
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	<1%	59	$186.79

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.