Provider Plus, INC
Provider Plus, INC was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 16% of everything it billed.
SAINT LOUIS, MO 63119
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,283 | $452K | |
| 2019 | 20,569 | $469K | |
| 2020 | 20,072 | $459K | |
| 2021 | 17,293 | $394K | |
| 2022 | 17,226 | $354K | |
| 2023 | 22,431 | $453K | |
| 2024incomplete | 25,951 | $380K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 16% | 15,350 | 10,997 | $469K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 13% | 16,242 | 14,183 | $399K |
| E0601 | Continuous positive airway pressure (cpap) device | 6.3% | 9,869 | 8,630 | $186K |
| 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 | 5.8% | 5,877 | 4,638 | $172K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 5.8% | 7,424 | 6,532 | $172K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.0% | 2,797 | 2,373 | $148K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.5% | 4,260 | 3,751 | $104K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 3.5% | 3,208 | 2,605 | $104K |
| 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 | 3.5% | 1,960 | 1,434 | $104K |
| 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 | 3.5% | 8,965 | 5,589 | $103K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.2% | 2,955 | 2,657 | $94K |
| K0001 | Standard wheelchair | 2.7% | 7,685 | 6,653 | $81K |
40 more codes
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.7% | 3,775 | $81K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.7% | 4,535 | $80K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 2.5% | 526 | $75K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 2.4% | 3,199 | $72K |
| A7035 | Headgear used with positive airway pressure device | 1.9% | 4,354 | $55K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.8% | 4,176 | $54K |
| E0570 | Nebulizer, with compressor | 1.8% | 3,051 | $53K |
| K0004 | High strength, lightweight wheelchair | 1.3% | 639 | $39K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 3,861 | $28K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 8,608 | $28K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 194 | $27K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 2,452 | $25K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 1,314 | $25K |
| E0619 | Apnea monitor, with recording feature | <1% | 153 | $24K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 1,910 | $21K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,181 | $19K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 2,934 | $19K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 1,159 | $16K |
| K0003 | Lightweight wheelchair | <1% | 1,170 | $15K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 654 | $13K |
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | <1% | 959 | $11K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 349 | $8K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 2,749 | $8K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 381 | $5K |
| E1392 | Portable oxygen concentrator, rental | <1% | 1,001 | $5K |
| K0006 | Heavy duty wheelchair | <1% | 194 | $5K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 172 | $3K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 135 | $3K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 267 | $2K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 349 | $2K |
| E0776 | Iv pole | <1% | 1,192 | $2K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 224 | $2K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 28 | $1K |
| A7002 | Tubing, used with suction pump, each | <1% | 269 | $532.98 |
| K0007 | Extra heavy duty wheelchair | <1% | 13 | $516.06 |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 20 | $411.94 |
| E0156 | Seat attachment, walker | <1% | 25 | $115.01 |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 15 | $98.13 |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 19 | $73.26 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 27 | $43.90 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.