Home ›
NPI 1730181124
NPI deactivated
1730181124
1730181124 was paid $2.64M by Medicaid between Jan 2018 and Jul 2022, across 74 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 — 9.0% of everything it billed.
33Billing provider info1730181124
33aNPI1730181124
33bProvider type—
28Total paid$2.64M
24GClaims72,148
24DCodes billed74
24AFirst – last monthJan 2018 – Jul 2022
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 | 29,529 | $652K | |
| 2019 | 21,822 | $1.02M | |
| 2020 | 13,359 | $623K | |
| 2021 | 4,767 | $218K | |
| 2022 | 2,671 | $123K |
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 | 9.0% | 1,288 | 942 | $238K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 8.4% | 6,531 | 5,350 | $222K |
| E0601 | Continuous positive airway pressure (cpap) device | 6.5% | 5,777 | 5,051 | $171K |
| 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 | 6.3% | 3,197 | 1,998 | $165K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 6.0% | 3,820 | 3,388 | $157K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 4.8% | 741 | 675 | $126K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 4.3% | 1,119 | 848 | $112K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 4.0% | 2,410 | 1,999 | $106K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 3.8% | 1,793 | 1,499 | $100K |
| T4541 | Incontinence product, disposable underpad, large, each | 3.7% | 2,423 | 2,085 | $97K |
| B9998 | Noc for enteral supplies | 3.6% | 1,756 | 929 | $96K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 3.3% | 2,631 | 1,409 | $87K |
62 more codes
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 3.1% | 1,162 | $83K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 3.1% | 2,197 | $83K |
| E0570 | Nebulizer, with compressor | 2.7% | 6,280 | $71K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 2.7% | 1,151 | $70K |
| A4927 | Gloves, non-sterile, per 100 | 2.2% | 3,222 | $59K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2.1% | 1,029 | $56K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 2.0% | 443 | $52K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 2.0% | 1,622 | $52K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 1.6% | 1,546 | $42K |
| 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 | 1.6% | 383 | $42K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.3% | 2,537 | $35K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 1.2% | 2,852 | $33K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.2% | 1,104 | $33K |
| E1399 | Durable medical equipment, miscellaneous | 1.1% | 577 | $29K |
| K0001 | Standard wheelchair | 1.0% | 1,581 | $26K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | <1% | 190 | $23K |
| A7035 | Headgear used with positive airway pressure device | <1% | 1,109 | $18K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 918 | $17K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 169 | $17K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 303 | $16K |
| K0003 | Lightweight wheelchair | <1% | 686 | $12K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,064 | $11K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 123 | $11K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 345 | $9K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 190 | $9K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 91 | $7K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 77 | $5K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 42 | $4K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,180 | $4K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 254 | $3K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 186 | $3K |
| E1392 | Portable oxygen concentrator, rental | <1% | 198 | $2K |
| L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 38 | $2K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 133 | $2K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 82 | $2K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 105 | $2K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 100 | $2K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 142 | $2K |
| A7002 | Tubing, used with suction pump, each | <1% | 261 | $1K |
| 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% | 19 | $1K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 13 | $1K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 258 | $1K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 84 | $863.92 |
| K0004 | High strength, lightweight wheelchair | <1% | 13 | $797.70 |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 18 | $771.14 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 27 | $767.37 |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 101 | $743.20 |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 24 | $701.63 |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 39 | $679.10 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 112 | $544.39 |
| A4618 | Breathing circuits | <1% | 38 | $426.86 |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 14 | $366.05 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 48 | $342.03 |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 19 | $252.90 |
| A7037 | Tubing used with positive airway pressure device | <1% | 13 | $199.54 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | <1% | 40 | $166.00 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 13 | $139.18 |
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | <1% | 13 | $132.05 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 31 | $124.54 |
| S8189 | Tracheostomy supply, not otherwise classified | <1% | 24 | $103.25 |
| A4565 | Slings | <1% | 15 | $101.72 |
| E0156 | Seat attachment, walker | 0% | 14 | $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.