Agency
Clinical Specialties INC.
Clinical Specialties INC. was paid $12.59M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is B4105, In-line cartridge containing digestive enzyme(s) for enteral feeding, each — 23% of everything it billed.
33Billing provider infoCLINICAL SPECIALTIES INC.
HUDSON, OH 44236
HUDSON, OH 44236
33aNPI1447268230assigned 08/04/2006
33bProvider typeHome Health Agency
28Total paid$12.59M
24GClaims126,880
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Ohio
Rank by total paid#84 of 915
Median peer was paid$1.83M
This provider vs. median6.9×
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 SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 3,929 | $748K | |
| 2019 | 4,799 | $812K | |
| 2020 | 5,478 | $1.02M | |
| 2021 | 16,370 | $2.19M | |
| 2022 | 18,213 | $2.43M | |
| 2023 | 33,800 | $3.02M | |
| 2024incomplete | 44,291 | $2.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4105 | In-line cartridge containing digestive enzyme(s) for enteral feeding, each | 23% | 1,127 | 619 | $2.83M |
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 20% | 17,360 | 2,510 | $2.50M |
| 99601 | 7.8% | 10,140 | 3,864 | $979K | |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 6.6% | 5,489 | 752 | $837K |
| 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 | 6.3% | 16,367 | 1,177 | $793K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 5.0% | 13,005 | 3,577 | $634K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 4.8% | 5,431 | 1,094 | $603K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 3.0% | 2,688 | 391 | $374K |
| 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 | 2.4% | 6,130 | 2,089 | $307K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.3% | 1,777 | 627 | $292K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.2% | 7,525 | 1,489 | $274K |
| S9367 | Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | 1.8% | 1,292 | 86 | $232K |
29 more codes
| S9366 | Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | 1.8% | 1,172 | $221K |
| J3490 | Unclassified drugs | 1.5% | 700 | $185K |
| 99602 | Nursing care in home rn | 1.4% | 2,092 | $182K |
| J1335 | Injection, ertapenem sodium, 500 mg | 1.4% | 325 | $178K |
| B4224 | Parenteral nutrition administration kit, per day | 1.3% | 11,365 | $164K |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 1.2% | 25 | $145K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.0% | 1,626 | $131K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 1,776 | $90K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 768 | $76K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 1,170 | $62K |
| 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 | <1% | 303 | $58K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 359 | $52K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 531 | $51K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 7,078 | $49K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 2,316 | $45K |
| 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% | 810 | $43K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 3,510 | $43K |
| 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% | 408 | $38K |
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | <1% | 284 | $36K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 195 | $25K |
| S9374 | Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 202 | $16K |
| S9359 | Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 203 | $12K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 310 | $11K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 672 | $9K |
| 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% | 93 | $3K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 186 | $2K |
| E0776 | Iv pole | <1% | 16 | $908.52 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 35 | $304.50 |
| A4217 | Sterile water/saline, 500 ml | <1% | 19 | $45.95 |
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 officialSHAPIRO, MICHAEL (PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| Able Healthcare Service, INC. | Merrick, NY | $110.27M |
| New England Home Therapies, INC. | Southborough, MA | $23.29M |
| Bioscrip Infusion Services, LLC | Tampa, FL | $12.46M |
| Knoxville Home Therapies LLC | Knoxville, TN | $11.74M |
| Vanguard Dermatology | Brooklyn, NY | $10.72M |
| Homechoice Partners, LLC | Duncan, SC | $7.95M |
| Professional Home Care Services,inc | Cromwell, CT | $7.80M |
| Infusion Partners, LLC | Canfield, OH | $7.53M |
| Professional Home Care Services, INC. | Cromwell, CT | $4.44M |
| Option Care Enterprises, INC. | Eatontown, NJ | $1.32M |
| East Goshen Pharmacy, LLC | Somers Point, NJ | $1.23M |
| Option Care Enterprises, INC. | Lincoln, NE | $993K |
| Homechoice Partners LLC | Fayetteville, NC | $907K |
| New England Home Therapies, INC. | Smithfield, RI | $670K |
| Option Care Enterprises, INC. | Pensacola, FL | $524K |
| Option Care Enterprises, INC. | Chantilly, VA | $479K |
| Wilcox Medical, INC | Rutland, VT | $445K |
| Bioscrip Pharmacy(Ny), INC | Lake Success, NY | $247K |
| Able Health Care Service, INC. | Merrick, NY | $175K |
| Option Care Enterprises INC | Ashland, KY | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.