Pentec Health INC
Pentec Health INC was paid $40.21M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is S9363, Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem — 35% of everything it billed.
UPPER CHICHESTER, PA 19061
Next to other Home Infusion Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,138 | $3.34M | |
| 2019 | 31,368 | $3.74M | |
| 2020 | 40,607 | $4.67M | |
| 2021 | 46,835 | $6.68M | |
| 2022 | 59,692 | $6.60M | |
| 2023 | 66,864 | $7.20M | |
| 2024incomplete | 72,286 | $7.98M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9363 | Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 35% | 18,933 | 11,436 | $14.16M |
| S9328 | Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 16% | 16,159 | 6,804 | $6.54M |
| B4197 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix | 14% | 36,089 | 3,307 | $5.75M |
| B4193 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix | 8.6% | 26,359 | 2,630 | $3.45M |
| J0475 | Injection, baclofen, 10 mg | 6.2% | 11,932 | 9,342 | $2.51M |
| B4189 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix | 5.9% | 18,879 | 1,879 | $2.39M |
| S9325 | Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328) | 2.9% | 1,022 | 854 | $1.15M |
| B4224 | Parenteral nutrition administration kit, per day | 2.8% | 88,273 | 8,016 | $1.12M |
| B4199 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix | 1.9% | 3,991 | 357 | $755K |
| 99601 | 1.3% | 9,271 | 8,033 | $521K | |
| 99602 | Nursing care in home rn | 1.3% | 8,760 | 7,550 | $516K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 3,367 | 286 | $312K |
14 more codes
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | <1% | 4,075 | $236K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 60,094 | $218K |
| S9368 | Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | <1% | 448 | $141K |
| J7999 | Compounded drug, not otherwise classified | <1% | 8,566 | $131K |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 1,694 | $89K |
| J2274 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | <1% | 800 | $72K |
| A4220 | Refill kit for implantable infusion pump | <1% | 9,248 | $67K |
| J3490 | Unclassified drugs | <1% | 3,146 | $43K |
| A9270 | Non-covered item or service | <1% | 14,504 | $30K |
| 95990 | <1% | 2,425 | $20K | |
| B4157 | Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 17 | $4K |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 221 | $3K |
| S9365 | Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | <1% | 382 | $600.00 |
| B9999 | Noc for parenteral supplies | <1% | 135 | $51.33 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pentec Health, INC. | Mansfield, MA | $20.22M |
| Diamond Nutrition Counseling, INC | Upper Chichester, PA | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.