1811946759

1811946759 was paid $2.41M by Medicaid between Jan 2018 and Aug 2022, across 28 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 17% of everything it billed.

33Billing provider info1811946759

33aNPI1811946759

33bProvider type—

28Total paid$2.41M

24GClaims20,310

24DCodes billed28

24AFirst – last monthJan 2018 – Aug 2022

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	3,400	$157K
2019	2,834	$347K
2020	4,989	$603K
2021	5,771	$714K
2022	3,316	$593K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	17%	4,476	1,189	$404K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	15%	2,445	807	$356K
S9366	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two 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	14%	554	127	$346K
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	10%	1,486	1,348	$250K
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem	8.8%	657	622	$213K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8.8%	1,587	1,439	$212K
99601		5.8%	1,573	525	$140K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	4.6%	1,022	514	$111K
S9374	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	3.5%	503	140	$85K
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	2.8%	578	531	$68K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1.7%	443	396	$40K
B9002	Enteral nutrition infusion pump, any type	1.3%	556	546	$32K

16 more codes

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	1.1%	43	$28K
S9343	Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem	1.0%	239	$25K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	476	$20K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	<1%	302	$19K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	793	$15K
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%	130	$15K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	58	$10K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	<1%	181	$7K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	<1%	30	$5K
B9998	Noc for enteral supplies	<1%	124	$4K
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%	17	$4K
99602	Nursing care in home rn	<1%	43	$3K
E0776	Iv pole	<1%	13	$909.69
A4927	Gloves, non-sterile, per 100	<1%	729	$680.83
A4245	Alcohol wipes, per box	<1%	955	$654.04
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	297	$393.36

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.