Community Health Enterprises, INC.

Community Health Enterprises, INC. was paid $117K by Medicaid between Jan 2018 and Mar 2023, across 12 billing codes. Its largest line is 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 — 18% of everything it billed.

Compared with peers

Next to other Home Infusion Agency providers in California

Rank by total paid#11 of 14

Median peer was paid$621K

This provider vs. median0.2×

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	1,501	$10K
2019	2,519	$18K
2020	2,450	$27K
2021	3,603	$58K
2022	153	$4K
2023	26	$36.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	18%	1,286	720	$21K
B9998	Noc for enteral supplies	15%	330	283	$17K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	13%	139	125	$15K
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	13%	841	721	$15K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	12%	2,363	1,273	$14K
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	8.0%	1,815	1,494	$9K
J3490	Unclassified drugs	6.6%	424	102	$8K
B9002	Enteral nutrition infusion pump, any type	4.4%	103	99	$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	4.1%	536	343	$5K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	2.8%	2,219	1,219	$3K
A4322	Irrigation syringe, bulb or piston, each	2.1%	158	137	$2K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	<1%	38	12	$1K

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 officialZELEZNY, JOHN (PRESIDENT)