Total Care RX, INC.

Total Care RX, INC. was paid $239K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 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 — 27% of everything it billed.

Compared with peers

Next to other Long Term Care Pharmacy providers in New York

Rank by total paid#2 of 17

Median peer was paid$6K

This provider vs. median38×

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

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	7,120	$52K
2019	9,853	$77K
2020	10,587	$42K
2021	9,852	$23K
2022	8,044	$20K
2023	8,097	$14K
2024incomplete	7,481	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	27%	423	400	$65K
J7518	Mycophenolic acid, oral, 180 mg	20%	8,032	7,320	$48K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14%	230	224	$35K
J7507	Tacrolimus, immediate release, oral, 1 mg	12%	9,676	8,303	$28K
B4100	Food thickener, administered orally, per ounce	11%	376	346	$27K
J7517	Mycophenolate mofetil, oral, 250 mg	3.7%	4,590	4,052	$9K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3.3%	109	107	$8K
J7500	Azathioprine, oral, 50 mg	2.2%	1,073	988	$5K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	1.4%	1,079	1,069	$3K
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%	26	25	$3K
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	<1%	12,330	11,094	$2K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	<1%	17,347	11,343	$2K

8 more codes

A4215	Needle, sterile, any size, each	<1%	41	$2K
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	<1%	75	$1K
J7515	Cyclosporine, oral, 25 mg	<1%	107	$913.69
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	<1%	5,152	$578.51
A4259	Lancets, per box of 100	<1%	241	$388.97
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	<1%	14	$6.60
Q0510	Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant	0%	21	$0.00
J7508	Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg	0%	92	$0.00

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 officialCATEGE, ALEX (DIRECTOR OF SPECIALTY SERVICES)