Supplier
Infant Formulas INC.
Infant Formulas INC. was paid $24.37M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T4532, Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each — 39% of everything it billed.
33Billing provider infoINFANT FORMULAS INC.
NORTH LITTLE ROCK, AR 72113
NORTH LITTLE ROCK, AR 72113
33aNPI1710918164assigned 07/05/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$24.37M
24GClaims212,188
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Arkansas
Rank by total paid#1 of 345
Median peer was paid$3K
This provider vs. median9,092×
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 | 28,509 | $3.40M | |
| 2019 | 27,581 | $3.17M | |
| 2020 | 27,761 | $3.24M | |
| 2021 | 28,885 | $3.31M | |
| 2022 | 30,962 | $3.47M | |
| 2023 | 33,607 | $3.79M | |
| 2024incomplete | 34,883 | $3.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 39% | 75,738 | 74,212 | $9.54M |
| 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 | 20% | 34,877 | 32,885 | $4.86M |
| B4100 | Food thickener, administered orally, per ounce | 11% | 37,614 | 35,421 | $2.67M |
| 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 | 8.5% | 14,647 | 13,383 | $2.07M |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 3.9% | 8,766 | 8,505 | $942K |
| 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 | 2.7% | 3,142 | 2,968 | $646K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2.4% | 5,162 | 5,044 | $592K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | 1.8% | 4,155 | 4,093 | $439K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1.8% | 3,755 | 3,712 | $437K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | 1.6% | 3,843 | 3,738 | $401K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.6% | 3,436 | 3,289 | $390K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | 1.5% | 3,062 | 3,012 | $361K |
10 more codes
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 1.0% | 3,055 | $249K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 2,150 | $215K |
| A4554 | Disposable underpads, all sizes | <1% | 4,047 | $191K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 1,726 | $187K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 1,005 | $112K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 355 | $23K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 180 | $17K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,392 | $11K |
| 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% | 40 | $8K |
| 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% | 41 | $910.08 |
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 officialPETTIT, JEFF (PRESIDENT)