Rady Children's Health Services-San Diego

Rady Children's Health Services-San Diego was paid $14.87M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 25% of everything it billed.

33Billing provider infoRADY CHILDREN'S HEALTH SERVICES-SAN DIEGO
SAN DIEGO, CA 92123

33aNPI1699853713assigned 11/02/2006

33bProvider typeHome Infusion Therapy Pharmacy

28Total paid$14.87M

24GClaims283,880

24DCodes billed38

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Infusion Therapy Pharmacy providers in California

Rank by total paid#4 of 17

Median peer was paid$1.99M

This provider vs. median7.5×

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	38,871	$1.90M
2019	39,438	$1.73M
2020	45,405	$2.20M
2021	44,285	$2.36M
2022	32,038	$1.68M
2023	45,213	$2.63M
2024incomplete	38,630	$2.36M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	25%	30,166	29,328	$3.73M
B9998	Noc for enteral supplies	20%	55,021	37,369	$2.98M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem	18%	3,964	3,870	$2.65M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	15%	16,902	16,713	$2.29M
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	4.1%	16,576	4,228	$605K
T5999	Supply, not otherwise specified	2.5%	2,665	2,480	$377K
A4322	Irrigation syringe, bulb or piston, each	2.4%	29,218	28,617	$352K
B9002	Enteral nutrition infusion pump, any type	2.2%	3,928	3,922	$333K
B9999	Noc for parenteral supplies	1.8%	10,887	3,336	$275K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	32,962	30,752	$142K
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	3,247	3,058	$134K
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%	1,946	1,732	$132K

26 more codes

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	<1%	678	$125K
A4657	Syringe, with or without needle, each	<1%	33,419	$120K
E0781	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient	<1%	2,810	$114K
T4529	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each	<1%	808	$85K
T4541	Incontinence product, disposable underpad, large, each	<1%	1,306	$72K
A4248	Chlorhexidine containing antiseptic, 1 ml	<1%	12,817	$61K
A4215	Needle, sterile, any size, each	<1%	1,379	$44K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	852	$43K
A4930	Gloves, sterile, per pair	<1%	6,532	$43K
A4212	Non-coring needle or stylet with or without catheter	<1%	1,630	$37K
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	<1%	161	$24K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	<1%	220	$22K
T4521	Adult sized disposable incontinence product, brief/diaper, small, each	<1%	186	$17K
A6258	Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	<1%	4,354	$16K
E0776	Iv pole	<1%	272	$13K
S1015	Iv tubing extension set	<1%	1,530	$13K
A4245	Alcohol wipes, per box	<1%	3,233	$6K
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	<1%	688	$4K
B4082	Nasogastric tubing without stylet	<1%	304	$4K
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	<1%	1,031	$4K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	<1%	860	$3K
A4335	Incontinence supply; miscellaneous	<1%	701	$2K
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	376	$635.67
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	41	$230.28
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	0%	175	$0.00
0250		0%	35	$0.00

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 officialCAIN CARRITHERS, KATHLEEN (CHIEF FINANCIAL OFFICER)

Parent organizationRADY CHILDREN'S HOSPITAL - SAN DIEGO