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NPI 1740239623
NPI deactivated
1740239623
1740239623 was paid $1.53M by Medicaid between Feb 2018 and Dec 2024, across 15 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 — 36% of everything it billed.
33Billing provider info1740239623
33aNPI1740239623
33bProvider type—
28Total paid$1.53M
24GClaims14,567
24DCodes billed15
24AFirst – last monthFeb 2018 – Dec 2024
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 | 129 | $4K | |
| 2019 | 175 | $2K | |
| 2020 | 14 | $0.99 | |
| 2021 | 150 | $12K | |
| 2022 | 2,850 | $213K | |
| 2023 | 6,114 | $609K | |
| 2024incomplete | 5,135 | $686K |
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 | 36% | 4,698 | 4,317 | $549K |
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 19% | 748 | 704 | $296K |
| B9002 | Enteral nutrition infusion pump, any type | 12% | 1,474 | 1,446 | $182K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 10% | 1,786 | 1,733 | $156K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 8.6% | 1,788 | 1,643 | $132K |
| B9998 | Noc for enteral supplies | 7.3% | 1,881 | 1,709 | $111K |
| 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 | 2.4% | 958 | 873 | $36K |
| 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 | 1.6% | 507 | 472 | $24K |
| 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 | 1.0% | 134 | 42 | $16K |
| 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 | <1% | 115 | 102 | $12K |
| 99601 | <1% | 95 | 40 | $8K | |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | <1% | 186 | 47 | $3K |
3 more codes
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.