Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TWELFTH ONE, LLC

NPI: 1457872632 · CHANDLER, AZ 85224 · Home Infusion Agency · NPI assigned 06/28/2017

$14.30M
Total Medicaid Paid
81,350
Total Claims
23,089
Beneficiaries
29
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAIEFSKI, THOMAS (MANAGER/MEMBER)
NPI Enumeration Date06/28/2017

Related Entities

Other providers sharing the same authorized official: MAIEFSKI, THOMAS

ProviderCityStateTotal Paid
TWELFTH ONE, LLC CHANDLER AZ $252K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $6K
2019 3,076 $547K
2020 7,620 $1.54M
2021 14,984 $2.51M
2022 24,359 $4.06M
2023 19,203 $3.34M
2024 12,054 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 12,222 3,607 $3.40M
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 6,491 1,843 $2.11M
99601 24,505 7,176 $2.11M
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 4,814 1,378 $1.46M
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 3,376 841 $1.02M
B4197 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix 606 151 $974K
B4224 Parenteral nutrition administration kit, per day 3,667 912 $701K
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) 2,664 830 $685K
B9004 Parenteral nutrition infusion pump, portable 5,239 997 $430K
A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour 3,425 1,287 $360K
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 675 250 $325K
B4220 Parenteral nutrition supply kit; premix, per day 3,677 912 $226K
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 564 183 $143K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 3,332 292 $97K
J3370 Injection, vancomycin hcl, 500 mg 1,488 562 $80K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 1,104 377 $52K
J7030 Infusion, normal saline solution , 1000 cc 1,578 621 $28K
J1335 Injection, ertapenem sodium, 500 mg 109 52 $20K
J0878 Injection, daptomycin, 1 mg 158 40 $18K
J0696 Injection, ceftriaxone sodium, per 250 mg 610 289 $15K
J0690 Injection, cefazolin sodium, 500 mg 221 97 $12K
J2997 Injection, alteplase recombinant, 1 mg 51 40 $12K
J0692 Injection, cefepime hydrochloride, 500 mg 162 78 $10K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 221 106 $6K
J2185 Injection, meropenem, 100 mg 27 14 $3K
B4216 Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day 44 16 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 27 12 $2K
J7050 Infusion, normal saline solution, 250 cc 279 112 $882.45
S5517 Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting 14 14 $272.73