1760494306

1760494306 was paid $1.70M by Medicaid between Jan 2018 and Jan 2021, across 42 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 — 30% of everything it billed.

33Billing provider info1760494306

33aNPI1760494306

33bProvider type—

28Total paid$1.70M

24GClaims20,102

24DCodes billed42

24AFirst – last monthJan 2018 – Jan 2021

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	6,879	$568K
2019	7,083	$572K
2020	6,076	$548K
2021	64	$14K

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	30%	2,127	1,830	$507K
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	17%	631	506	$282K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	8.9%	1,429	1,222	$152K
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	8.0%	807	683	$136K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	7.6%	1,710	1,624	$130K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	7.5%	440	328	$128K
B9002	Enteral nutrition infusion pump, any type	4.8%	1,017	870	$82K
E0601	Continuous positive airway pressure (cpap) device	3.2%	1,467	1,313	$54K
A4606	Oxygen probe for use with oximeter device, replacement	1.8%	152	92	$30K
E0562	Humidifier, heated, used with positive airway pressure device	1.3%	1,721	1,529	$22K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	1.1%	1,165	1,047	$20K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1.0%	1,286	1,221	$18K

30 more codes

E0570	Nebulizer, with compressor	<1%	158	$15K
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	528	$13K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	<1%	124	$12K
A7031	Face mask interface, replacement for full face mask, each	<1%	250	$12K
A4335	Incontinence supply; miscellaneous	<1%	646	$11K
A7030	Full face mask used with positive airway pressure device, each	<1%	142	$10K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	<1%	57	$10K
E0776	Iv pole	<1%	857	$9K
E0600	Respiratory suction pump, home model, portable or stationary, electric	<1%	241	$8K
A7035	Headgear used with positive airway pressure device	<1%	453	$7K
B9998	Noc for enteral supplies	<1%	61	$6K
A7038	Filter, disposable, used with positive airway pressure device	<1%	562	$5K
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	697	$4K
K0001	Standard wheelchair	<1%	253	$4K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	<1%	13	$3K
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	63	$3K
T4541	Incontinence product, disposable underpad, large, each	<1%	46	$2K
A4927	Gloves, non-sterile, per 100	<1%	146	$2K
A7000	Canister, disposable, used with suction pump, each	<1%	77	$2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	<1%	17	$1K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	<1%	14	$1K
A7002	Tubing, used with suction pump, each	<1%	122	$957.21
A7015	Aerosol mask, used with dme nebulizer	<1%	390	$697.43
B4100	Food thickener, administered orally, per ounce	<1%	16	$673.29
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	<1%	22	$624.62
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	87	$551.71
T4542	Incontinence product, disposable underpad, small size, each	<1%	20	$530.31
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	12	$485.28
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	62	$386.77
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	14	$207.00

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.