Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1801911540

1801911540 was paid $1.26M by Medicaid between Jan 2018 and Dec 2023, across 41 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 — 17% of everything it billed.

33Billing provider info1801911540
33aNPI1801911540
33bProvider type—
28Total paid$1.26M
24GClaims35,494
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2023
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20186,371$232K
20196,013$181K
20206,976$262K
20217,221$292K
20225,812$186K
20233,101$102K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 17% 1,932 1,575 $212K
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 14% 1,009 792 $173K
A4606 Oxygen probe for use with oximeter device, replacement 9.7% 1,675 1,357 $121K
B9998 Noc for enteral supplies 9.5% 3,673 2,099 $120K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 7.7% 2,462 2,105 $97K
A4217 Sterile water/saline, 500 ml 7.0% 1,297 929 $88K
A7526 Tracheostomy tube collar/holder, each 4.0% 917 735 $50K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 3.9% 619 472 $49K
E1399 Durable medical equipment, miscellaneous 3.3% 4,786 1,788 $42K
S8189 Tracheostomy supply, not otherwise classified 3.2% 908 465 $41K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 2.8% 410 387 $35K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 2.1% 2,718 2,319 $27K
29 more codes
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 2.1% 1,964 $27K
A7000 Canister, disposable, used with suction pump, each 1.6% 1,585 $21K
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 1.5% 45 $19K
A4452 Tape, waterproof, per 18 square inches 1.3% 1,012 $16K
A4628 Oral and/or oropharyngeal suction catheter, each 1.2% 946 $15K
A7002 Tubing, used with suction pump, each 1.2% 1,439 $15K
A4927 Gloves, non-sterile, per 100 1.0% 1,106 $13K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 411 $12K
B9002 Enteral nutrition infusion pump, any type <1% 226 $12K
A4618 Breathing circuits <1% 489 $9K
A4213 Syringe, sterile, 20 cc or greater, each <1% 1,467 $8K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each <1% 79 $7K
B4082 Nasogastric tubing without stylet <1% 146 $5K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 35 $4K
A4210 Needle-free injection device, each <1% 928 $4K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit <1% 165 $3K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 124 $3K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 61 $2K
E0776 Iv pole <1% 179 $2K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 50 $2K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 117 $2K
E1405 Oxygen and water vapor enriching system with heated delivery <1% 13 $372.00
A7004 Small volume nonfiltered pneumatic nebulizer, disposable <1% 152 $339.71
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 99 $299.31
A4402 Lubricant, per ounce <1% 32 $208.93
A4245 Alcohol wipes, per box <1% 63 $159.68
A4450 Tape, non-waterproof, per 18 square inches <1% 95 $93.05
A4616 Tubing (oxygen), per foot <1% 47 $55.93
A7525 Tracheostomy mask, each <1% 13 $42.73

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.