Supplier
Star Formula INC
Star Formula INC was paid $13.43M by Medicaid between Jun 2020 and Dec 2024, across 45 billing codes. Its largest line is 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 — 33% of everything it billed.
33Billing provider infoSTAR FORMULA INC
ADDISON, TX 75001
ADDISON, TX 75001
33aNPI1538511910assigned 07/08/2016
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$13.43M
24GClaims92,416
24DCodes billed45
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas
Rank by total paid#9 of 81
Median peer was paid$653K
This provider vs. median21×
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.
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 | |
|---|---|---|---|
| 2020 | 5,031 | $590K | |
| 2021 | 21,005 | $2.76M | |
| 2022 | 20,654 | $3.06M | |
| 2023 | 24,719 | $3.69M | |
| 2024incomplete | 21,007 | $3.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 8,912 | 7,718 | $4.45M |
| 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 | 19% | 14,778 | 11,171 | $2.56M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 12% | 6,546 | 6,162 | $1.61M |
| B9998 | Noc for enteral supplies | 5.3% | 11,128 | 8,289 | $714K |
| 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 | 5.2% | 2,845 | 2,719 | $699K |
| 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% | 2,322 | 1,910 | $466K |
| 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 | 3.2% | 1,749 | 1,132 | $431K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 2.9% | 3,027 | 2,928 | $395K |
| 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% | 1,154 | 1,037 | $323K |
| 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 | 2.2% | 1,453 | 1,391 | $295K |
| 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 | 2.1% | 246 | 238 | $284K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 2.0% | 2,621 | 2,500 | $273K |
33 more codes
| B4100 | Food thickener, administered orally, per ounce | 1.7% | 961 | $227K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 957 | $117K |
| A4554 | Disposable underpads, all sizes | <1% | 4,616 | $111K |
| E0570 | Nebulizer, with compressor | <1% | 944 | $96K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 869 | $77K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 567 | $64K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 6,553 | $47K |
| 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% | 84 | $39K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 273 | $28K |
| A4335 | Incontinence supply; miscellaneous | <1% | 6,339 | $26K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 109 | $16K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 134 | $13K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 478 | $12K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,919 | $7K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 4,986 | $7K |
| B4104 | Additive for enteral formula (e.g., fiber) | <1% | 96 | $7K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 106 | $4K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 68 | $4K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 604 | $4K |
| A7002 | Tubing, used with suction pump, each | <1% | 462 | $4K |
| L2630 | Addition to lower extremity, pelvic control, band and belt, unilateral | <1% | 58 | $3K |
| E0776 | Iv pole | <1% | 411 | $3K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 380 | $2K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 220 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 463 | $1K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 85 | $1K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 12 | $1K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 880 | $1K |
| B4081 | Nasogastric tubing with stylet | <1% | 29 | $1K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 36 | $915.42 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 501 | $572.20 |
| A4402 | Lubricant, per ounce | <1% | 193 | $512.86 |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 242 | $326.28 |
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 officialMITCHELL, JENNIFER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Triad Dental Group | Piedmont, SC | $321K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.