Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Fort Worth › NPI 1801866173
Supplier

Cook Childrens Home Health

Cook Childrens Home Health was paid $64.41M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 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 — 19% of everything it billed.

33Billing provider infoCOOK CHILDRENS HOME HEALTH
FORT WORTH, TX 76104
33aNPI1801866173assigned 01/26/2006
28Total paid$64.41M
24GClaims608,525
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Customized Equipment (DME) providers in Texas

Rank by total paid#2 of 91
Median peer was paid$402K
This provider vs. median160×

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.

Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
201878$3K
2019138$5K
202027,698$2.58M
2021139,147$13.00M
2022144,862$15.21M
2023155,497$16.96M
2024incomplete141,105$16.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 19% 14,673 13,165 $11.92M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 10% 20,135 19,340 $6.59M
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 6.8% 18,261 15,150 $4.41M
B9998 Noc for enteral supplies 4.4% 44,520 22,353 $2.81M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 4.1% 2,704 2,597 $2.64M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 4.1% 18,977 18,426 $2.64M
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 3.2% 6,216 4,219 $2.09M
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.3% 948 866 $1.47M
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 2.1% 8,253 7,929 $1.37M
E1399 Durable medical equipment, miscellaneous 2.1% 3,057 2,714 $1.34M
E0570 Nebulizer, with compressor 1.9% 10,184 10,016 $1.21M
E0445 Oximeter device for measuring blood oxygen levels non-invasively 1.8% 10,092 9,772 $1.19M
161 more codes
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1.8% 2,678 $1.18M
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1.8% 5,467 $1.17M
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit 1.7% 3,500 $1.09M
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 1.6% 16,371 $1.01M
B9002 Enteral nutrition infusion pump, any type 1.5% 9,338 $946K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 1.2% 7,097 $751K
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated <1% 1,433 $640K
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 <1% 1,903 $608K
L1907 Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated <1% 1,046 $591K
A4605 Tracheal suction catheter, closed system, each <1% 1,626 $577K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit <1% 2,390 $545K
E0482 Cough stimulating device, alternating positive and negative airway pressure <1% 2,183 $540K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 2,045 $504K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 4,261 $485K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 19,189 $471K
A4554 Disposable underpads, all sizes <1% 13,663 $466K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 14,949 $458K
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% 691 $432K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 4,091 $418K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 2,057 $411K
K0001 Standard wheelchair <1% 10,981 $408K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 2,948 $380K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 46,905 $370K
E0240 Bath/shower chair, with or without wheels, any size <1% 342 $320K
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% 1,009 $315K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 2,804 $307K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 3,387 $306K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined <1% 2,776 $297K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 2,126 $295K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 2,674 $293K
E0601 Continuous positive airway pressure (cpap) device <1% 6,358 $286K
L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each <1% 2,132 $286K
A6260 Wound cleansers, any type, any size <1% 4,606 $282K
A7000 Canister, disposable, used with suction pump, each <1% 7,307 $277K
A4322 Irrigation syringe, bulb or piston, each <1% 15,307 $264K
A4606 Oxygen probe for use with oximeter device, replacement <1% 2,351 $254K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 1,471 $248K
A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation <1% 1,590 $225K
A7526 Tracheostomy tube collar/holder, each <1% 4,170 $224K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 1,443 $215K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 1,755 $209K
B4100 Food thickener, administered orally, per ounce <1% 4,034 $208K
A4629 Tracheostomy care kit for established tracheostomy <1% 1,763 $198K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) <1% 1,151 $188K
A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified <1% 1,381 $186K
A4335 Incontinence supply; miscellaneous <1% 28,935 $186K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 1,448 $183K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) <1% 210 $183K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 4,680 $156K
B4104 Additive for enteral formula (e.g., fiber) <1% 903 $153K
A7002 Tubing, used with suction pump, each <1% 6,889 $152K
E0619 Apnea monitor, with recording feature <1% 1,098 $149K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section <1% 2,119 $140K
K0108 Wheelchair component or accessory, not otherwise specified <1% 935 $138K
E0791 Parenteral infusion pump, stationary, single or multi-channel <1% 846 $131K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 1,088 $130K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 14,198 $129K
L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each <1% 1,017 $118K
L2280 Addition to lower extremity, molded inner boot <1% 345 $117K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system <1% 228 $104K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing <1% 554 $96K
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each <1% 10,094 $92K
E0202 Phototherapy (bilirubin) light with photometer <1% 1,151 $91K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 19,670 $79K
A4670 Automatic blood pressure monitor <1% 1,368 $78K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 7,552 $77K
E0776 Iv pole <1% 9,245 $75K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 1,290 $74K
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% 326 $70K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 2,586 $69K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each <1% 766 $69K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 544 $66K
A4212 Non-coring needle or stylet with or without catheter <1% 1,532 $65K
L1200 Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only <1% 59 $62K
L3260 Surgical boot/shoe, each <1% 2,015 $60K
S1040 Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) <1% 37 $60K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 172 $56K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 713 $53K
A6245 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 767 $49K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 992 $49K
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% 477 $48K
A4927 Gloves, non-sterile, per 100 <1% 2,483 $43K
A6214 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing <1% 251 $40K
A6259 Transparent film, sterile, more than 48 sq. in., each dressing <1% 319 $39K
A4452 Tape, waterproof, per 18 square inches <1% 3,585 $39K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type <1% 628 $35K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each <1% 913 $34K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 129 $33K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 2,197 $32K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 1,184 $30K
A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce <1% 390 $28K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 3,253 $28K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 1,340 $27K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 855 $26K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver <1% 108 $26K
E1060 Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests <1% 322 $26K
E2617 Custom fabricated wheelchair back cushion, any size, including any type mounting hardware <1% 25 $26K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 221 $24K
E0562 Humidifier, heated, used with positive airway pressure device <1% 2,199 $22K
A7015 Aerosol mask, used with dme nebulizer <1% 15,094 $22K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 166 $21K
E8001 Gait trainer, pediatric size, upright support, includes all accessories and components <1% 13 $21K
A4398 Ostomy irrigation supply; bag, each <1% 266 $20K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each <1% 109 $20K
A7037 Tubing used with positive airway pressure device <1% 811 $16K
L1832 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 59 $15K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 1,711 $14K
A4402 Lubricant, per ounce <1% 2,536 $13K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 332 $13K
E0960 Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware <1% 130 $12K
K0040 Adjustable angle footplate, each <1% 93 $11K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 866 $11K
L1210 Addition to tlso, (low profile), lateral thoracic extension <1% 60 $11K
A4215 Needle, sterile, any size, each <1% 3,354 $10K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 31 $10K
A7030 Full face mask used with positive airway pressure device, each <1% 86 $10K
E0247 Transfer bench for tub or toilet with or without commode opening <1% 109 $10K
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 154 $10K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 130 $9K
A4467 Belt, strap, sleeve, garment, or covering, any type <1% 161 $8K
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 13,931 $8K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 56 $8K
A4456 Adhesive remover, wipes, any type, each <1% 1,595 $8K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 192 $7K
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 116 $7K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 92 $7K
A4371 Ostomy skin barrier, powder, per oz <1% 823 $6K
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% 71 $6K
A7525 Tracheostomy mask, each <1% 1,489 $6K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 159 $6K
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each <1% 92 $5K
A4250 Urine test or reagent strips or tablets (100 tablets or strips) <1% 476 $5K
A4245 Alcohol wipes, per box <1% 2,710 $5K
A4565 Slings <1% 494 $3K
A4248 Chlorhexidine containing antiseptic, 1 ml <1% 1,597 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 841 $3K
K0038 Leg strap, each <1% 70 $3K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 14 $3K
L3332 Lift, elevation, inside shoe, tapered, up to one-half inch <1% 68 $3K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 802 $3K
A7039 Filter, non disposable, used with positive airway pressure device <1% 343 $3K
B4082 Nasogastric tubing without stylet <1% 72 $2K
L1240 Addition to tlso, (low profile), lumbar derotation pad <1% 44 $2K
A4332 Lubricant, individual sterile packet, each <1% 922 $2K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 153 $1K
A7012 Water collection device, used with large volume nebulizer <1% 177 $1K
L8501 Tracheostomy speaking valve <1% 14 $970.43
E0480 Percussor, electric or pneumatic, home model <1% 25 $860.33
A4421 Ostomy supply; miscellaneous <1% 12 $759.00
L1060 Addition to ctlso or scoliosis orthosis, thoracic pad <1% 12 $735.30
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 108 $601.17
L1290 Addition to tlso, (low profile), lateral trochanteric pad <1% 13 $564.77
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce <1% 64 $559.15
A4930 Gloves, sterile, per pair <1% 210 $529.94
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 18 $305.82
A4213 Syringe, sterile, 20 cc or greater, each <1% 71 $228.57
A4615 Cannula, nasal <1% 152 $171.72
A4450 Tape, non-waterproof, per 18 square inches <1% 64 $103.30
A5120 Skin barrier, wipes or swabs, each <1% 13 $81.35
A4649 Surgical supply; miscellaneous <1% 13 $47.84
A4616 Tubing (oxygen), per foot <1% 46 $2.15

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.

From NPPES

Who's on the registration

Authorized officialSIMMONS, MICHAEL (PRESIDENT, CCHH)
Parent organizationCOOK CHILDREN'S HOME HEALTH
Same official

Other billing entities under SIMMONS, MICHAEL

Full network →
ProviderLocationPaid
Cook Childrens Home HealthSan Antonio, TX$337K
Cook Childrens Home HealthAustin, TX$276K
Cook Childrens Home HealthFort Worth, TX$65K
Cook Childrens Home HealthFort Worth, TX$101.45

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.