Supplier
Children's Hospital Medical Center
Children's Hospital Medical Center was paid $56.97M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is S9340, Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 52% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL MEDICAL CENTER
CINCINNATI, OH 45206
CINCINNATI, OH 45206
33aNPI1629116645assigned 02/02/2007
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$56.97M
24GClaims45,864
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Infusion Therapy Pharmacy providers in Ohio
Rank by total paid#1 of 7
Median peer was paid$413K
This provider vs. median138×
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 | |
|---|---|---|---|
| 2018 | 4,778 | $6.43M | |
| 2019 | 6,999 | $6.40M | |
| 2020 | 7,022 | $8.43M | |
| 2021 | 7,971 | $10.49M | |
| 2022 | 7,740 | $11.68M | |
| 2023 | 5,984 | $6.85M | |
| 2024incomplete | 5,370 | $6.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 52% | 16,782 | 12,378 | $29.48M |
| J3490 | Unclassified drugs | 29% | 9,890 | 1,968 | $16.40M |
| S9590 | Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 4.9% | 1,741 | 1,344 | $2.82M |
| 90378 | 4.2% | 571 | 452 | $2.40M | |
| 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 | 3.3% | 4,181 | 3,028 | $1.88M |
| 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 | 1.9% | 3,348 | 2,609 | $1.11M |
| 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 | 1.6% | 5,319 | 4,022 | $920K |
| S5497 | Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.4% | 1,727 | 1,044 | $824K |
| J7170 | Injection, emicizumab-kxwh, 0.5 mg | 1.4% | 46 | 27 | $815K |
| 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% | 91 | 72 | $136K |
| S9345 | Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 120 | 77 | $93K |
| J3590 | Unclassified biologics | <1% | 155 | 146 | $49K |
6 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% | 318 | $38K |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | <1% | 452 | $10K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 779 | $5K |
| 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% | 31 | $3K |
| J2941 | Injection, somatropin, 1 mg | <1% | 44 | $2K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 269 | $587.12 |
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 officialBROOMALL, JODIANNE (SR DIRECTOR BILLING & CODING SERV)
Parent organizationCHILDREN'S HOSPITAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital Medical Center | Cincinnati, OH | $386.70M |
| Children's Hospital Medical Center | Cincinnati, OH | $51.16M |
| Children's Hospital Medical Center | Cincinnati, OH | $19.19M |
| Children's Hospital Medical Center | Cincinnati, OH | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.