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NPI 1790879070
NPI deactivated
1790879070
1790879070 was paid $4.80M by Medicaid between Jan 2018 and Dec 2021, across 48 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 11% of everything it billed.
33Billing provider info1790879070
33aNPI1790879070
33bProvider type—
28Total paid$4.80M
24GClaims82,292
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 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 | 25,502 | $1.44M | |
| 2019 | 21,692 | $1.27M | |
| 2020 | 18,879 | $1.12M | |
| 2021 | 16,219 | $970K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 11% | 14,766 | 13,808 | $518K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 8.3% | 6,326 | 5,933 | $401K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 8.2% | 2,678 | 2,543 | $392K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 6.9% | 569 | 522 | $330K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.2% | 2,418 | 2,286 | $299K |
| T4541 | Incontinence product, disposable underpad, large, each | 6.1% | 6,614 | 6,285 | $294K |
| 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 | 6.1% | 700 | 534 | $291K |
| 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 | 5.6% | 1,673 | 1,418 | $269K |
| 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 | 5.0% | 1,720 | 1,475 | $238K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 4.7% | 4,768 | 4,428 | $226K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 4.4% | 1,501 | 1,433 | $210K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 4.3% | 2,672 | 2,193 | $208K |
36 more codes
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 4.2% | 1,564 | $200K |
| A4927 | Gloves, non-sterile, per 100 | 2.7% | 7,498 | $131K |
| B9998 | Noc for enteral supplies | 2.7% | 814 | $128K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 2.4% | 11,735 | $116K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.1% | 833 | $101K |
| 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 | 1.5% | 694 | $74K |
| E1392 | Portable oxygen concentrator, rental | 1.2% | 1,419 | $59K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1.2% | 298 | $57K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.1% | 320 | $54K |
| E0570 | Nebulizer, with compressor | <1% | 1,206 | $38K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 599 | $31K |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | <1% | 1,698 | $24K |
| A4335 | Incontinence supply; miscellaneous | <1% | 2,633 | $22K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 110 | $18K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 106 | $13K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 647 | $9K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 270 | $7K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 701 | $7K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 230 | $7K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 29 | $5K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 83 | $4K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,189 | $4K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 33 | $3K |
| 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% | 22 | $2K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 44 | $2K |
| K0001 | Standard wheelchair | <1% | 220 | $1K |
| A7035 | Headgear used with positive airway pressure device | <1% | 73 | $1K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 93 | $1K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 91 | $647.92 |
| A7002 | Tubing, used with suction pump, each | <1% | 180 | $627.94 |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 15 | $561.96 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 89 | $512.25 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 255 | $449.68 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 28 | $436.62 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 56 | $310.96 |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 12 | $181.94 |
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.