Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Aurora › NPI 1689792178
Supplier

Shalom Family INC.

Shalom Family INC. was paid $12.52M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 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 — 31% of everything it billed.

33Billing provider infoSHALOM FAMILY INC.
AURORA, CO 80011
33aNPI1689792178assigned 03/26/2007
28Total paid$12.52M
24GClaims193,967
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Colorado

Rank by total paid#15 of 645
Median peer was paid$21K
This provider vs. median608×

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$100K$200K$300K2018201920202021202220232024
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
201816,762$1.24M
201918,104$1.41M
202024,097$1.68M
202133,550$1.83M
202236,282$1.90M
202341,415$2.37M
2024incomplete23,757$2.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 6,869 5,917 $3.88M
A5120 Skin barrier, wipes or swabs, each 19% 89,472 23,221 $2.39M
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 7.8% 2,965 2,685 $978K
A4554 Disposable underpads, all sizes 7.5% 14,807 14,252 $941K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 7.2% 12,616 12,007 $903K
A4927 Gloves, non-sterile, per 100 5.8% 24,593 21,757 $725K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 5.3% 4,093 3,901 $661K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 4.7% 4,626 4,389 $594K
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each 3.2% 5,663 5,489 $400K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 2.9% 2,265 2,124 $360K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 2.4% 22,295 19,710 $305K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 1.3% 1,689 1,618 $168K
12 more codes
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% 573 $109K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each <1% 293 $70K
A4670 Automatic blood pressure monitor <1% 108 $7K
E0242 Bath tub rail, floor base <1% 84 $7K
K0001 Standard wheelchair <1% 639 $5K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 24 $3K
A6533 Gradient compression stocking, thigh length, 18-30 mmhg, each <1% 25 $2K
E0245 Tub stool or bench <1% 48 $2K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 14 $2K
E0570 Nebulizer, with compressor <1% 83 $1K
E0100 Cane, includes canes of all materials, adjustable or fixed, with tip <1% 50 $836.96
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 73 $155.17

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 officialLARINA, LARISA (CO-OWNER - PRESIDENT)