Agency
Duke University Health System, INC.
Duke University Health System, INC. was paid $5.01M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is B4189, Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix — 25% of everything it billed.
33Billing provider infoDUKE UNIVERSITY HEALTH SYSTEM, INC.
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1457395394assigned 06/15/2006
33bProvider typeHome Infusion Agency
28Total paid$5.01M
24GClaims57,409
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Infusion Agency providers in North Carolina
Rank by total paid#5 of 18
Median peer was paid$1.55M
This provider vs. median3.2×
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 SMITH, JOHN 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 | 6,289 | $271K | |
| 2019 | 7,966 | $416K | |
| 2020 | 7,841 | $417K | |
| 2021 | 6,991 | $466K | |
| 2022 | 7,003 | $492K | |
| 2023 | 9,512 | $1.17M | |
| 2024incomplete | 11,807 | $1.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4189 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix | 25% | 1,466 | 301 | $1.26M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 22% | 8,961 | 1,654 | $1.10M |
| B4224 | Parenteral nutrition administration kit, per day | 18% | 13,765 | 1,783 | $881K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 6.8% | 2,338 | 1,378 | $342K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 6.5% | 11,340 | 1,515 | $327K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 5.7% | 10,034 | 1,782 | $284K |
| 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 | 5.0% | 533 | 455 | $249K |
| S9494 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) | 4.5% | 3,369 | 384 | $227K |
| 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 | 1.8% | 685 | 568 | $93K |
| S9329 | Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331) | 1.5% | 1,560 | 309 | $78K |
| 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 | <1% | 216 | 186 | $38K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 355 | 226 | $30K |
16 more codes
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 128 | $20K |
| B9004 | Parenteral nutrition infusion pump, portable | <1% | 98 | $19K |
| 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 | <1% | 41 | $18K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 189 | $12K |
| 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% | 72 | $11K |
| 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 | <1% | 124 | $6K |
| 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% | 25 | $4K |
| 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% | 67 | $4K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 149 | $3K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 248 | $366.06 |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 324 | $260.00 |
| B4082 | Nasogastric tubing without stylet | <1% | 16 | $216.45 |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 205 | $1.48 |
| 99601 | 0% | 699 | $0.00 | |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 0% | 356 | $0.00 |
| 99602 | Nursing care in home rn | 0% | 46 | $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 officialSMITH, JOHN (VP, FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Prestige Healthcare Resources INC. | Bladensburg, MD | $55.74M |
| Duke University Health System, INC. | Durham, NC | $44.35M |
| Duke University Health System, INC. | Durham, NC | $11.62M |
| Proact Dental, INC. | Birmingham, AL | $9.47M |
| Duke University Health System, INC. | Durham, NC | $8.33M |
| Duke University Health System INC | Raleigh, NC | $7.84M |
| Duke University Health System, INC. | Durham, NC | $7.61M |
| Wishon Radiological Medical Group, INC. | Fresno, CA | $5.11M |
| Duke University Health System, INC. | Raleigh, NC | $4.15M |
| Lighthouse Systems, LLC | Pharr, TX | $3.54M |
| Duke University Health System, INC. | Durham, NC | $1.59M |
| Old School LLC | Lakewood, OH | $800K |
| Gateway Medical Group LC | Okeechobee, FL | $447K |
| Triangle Geriatric and Memory Clinic, PLLC | Cary, NC | $437K |
| Duke University Health System, INC. | Durham, NC | $289K |
| Duke University Health System, INC. | Durham, NC | $118K |
| Associated Health Services, INC. | Durham, NC | $102K |
| Duke Health Integrated Practice, INC. | Durham, NC | $64K |
| Duke University Health System, INC. | Durham, NC | $49K |
| Women's Imaging Specialists in Healthcare | Fresno, CA | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.