Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Rocky Mount › NPI 1659319325
NP / PA NPI deactivated

Wincare, INC.

Wincare, INC. was paid $34.43M by Medicaid between Jan 2018 and Dec 2024, across 49 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 — 21% of everything it billed.

33Billing provider infoWINCARE, INC.
ROCKY MOUNT, NC 27803
33aNPI1659319325assigned 06/03/2006
28Total paid$34.43M
24GClaims298,101
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adult Health Nurse Practitioner providers in North Carolina

Rank by total paid#1 of 20
Median peer was paid$69K
This provider vs. median499×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201833,455$4.12M
201936,886$4.34M
202041,752$4.89M
202146,015$5.13M
202247,217$5.04M
202345,772$5.44M
2024incomplete47,004$5.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 15,174 13,034 $7.31M
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 12% 38,420 33,515 $4.18M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 11% 35,909 14,542 $3.80M
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 7.9% 9,141 6,627 $2.72M
A4554 Disposable underpads, all sizes 4.1% 26,035 24,673 $1.40M
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 4.0% 10,984 9,824 $1.37M
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% 11,545 9,328 $1.21M
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 2.8% 5,767 5,320 $960K
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 2.8% 7,391 5,399 $949K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 2.4% 8,662 7,921 $838K
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 2.4% 1,510 1,151 $823K
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 2.3% 3,965 3,232 $780K
37 more codes
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 2.0% 8,238 $699K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 2.0% 6,254 $673K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.9% 11,308 $657K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 1.8% 5,220 $613K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 1.7% 5,328 $593K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 1.6% 4,400 $567K
A4927 Gloves, non-sterile, per 100 1.5% 19,691 $507K
B9002 Enteral nutrition infusion pump, any type 1.4% 1,149 $496K
B4100 Food thickener, administered orally, per ounce 1.4% 7,826 $476K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1.3% 3,510 $436K
B9998 Noc for enteral supplies 1.2% 21,989 $416K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 1.2% 3,960 $402K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 2,017 $245K
A9999 Miscellaneous dme supply or accessory, not otherwise specified <1% 1,813 $210K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 1,843 $208K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 1,963 $185K
A4213 Syringe, sterile, 20 cc or greater, each <1% 4,561 $166K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 1,659 $152K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 3,502 $116K
A4670 Automatic blood pressure monitor <1% 1,055 $63K
A7000 Canister, disposable, used with suction pump, each <1% 1,281 $51K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 242 $35K
B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 50 $34K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each <1% 183 $32K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 1,606 $14K
A7002 Tubing, used with suction pump, each <1% 1,682 $10K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 57 $7K
A4335 Incontinence supply; miscellaneous <1% 482 $6K
W4211 <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% 33 $3K
T4543 Adult sized disposable incontinence product, protective brief/diaper, above extra large, each <1% 13 $3K
E1639 Scale, each <1% 18 $1K
E0570 Nebulizer, with compressor <1% 13 $834.43
E0776 Iv pole <1% 13 $792.00
W4212 <1% 36 $720.18
A7015 Aerosol mask, used with dme nebulizer <1% 266 $678.75
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 165 $382.03

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 officialRUDDICK, AMY (GENERAL MANAGER)