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NPI 1609910728
NPI deactivated
1609910728
1609910728 was paid $566K by Medicaid between Jan 2018 and Aug 2020, across 23 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 24% of everything it billed.
33Billing provider info1609910728
33aNPI1609910728
33bProvider type—
28Total paid$566K
24GClaims9,925
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2020
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 | 7,080 | $354K | |
| 2019 | 2,745 | $195K | |
| 2020 | 100 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 24% | 2,341 | 2,163 | $136K |
| 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% | 328 | 261 | $109K |
| 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 | 13% | 991 | 829 | $75K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 13% | 965 | 776 | $74K |
| 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 | 8.4% | 764 | 648 | $48K |
| E0441 | Stationary oxygen contents, gaseous, 1 month's supply = 1 unit | 4.6% | 793 | 643 | $26K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | 4.5% | 395 | 374 | $25K |
| 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 | 3.1% | 73 | 63 | $18K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.9% | 1,218 | 1,116 | $16K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.4% | 231 | 199 | $8K |
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | 1.2% | 329 | 222 | $7K |
| A7037 | Tubing used with positive airway pressure device | <1% | 285 | 269 | $5K |
11 more codes
| 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% | 31 | $5K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 290 | $5K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 170 | $3K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 31 | $3K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 42 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 317 | $838.99 |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 14 | $565.27 |
| A7035 | Headgear used with positive airway pressure device | <1% | 28 | $447.19 |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 28 | $402.93 |
| E0776 | Iv pole | <1% | 247 | $384.12 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 14 | $343.74 |
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.