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NPI 1912917550
NPI deactivated
1912917550
1912917550 was paid $2.76M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 23% of everything it billed.
33Billing provider info1912917550
33aNPI1912917550
33bProvider type—
28Total paid$2.76M
24GClaims50,927
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
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 | 923 | $78K | |
| 2019 | 1,484 | $121K | |
| 2020 | 3,000 | $269K | |
| 2021 | 4,259 | $515K | |
| 2022 | 17,574 | $666K | |
| 2023 | 14,052 | $615K | |
| 2024incomplete | 9,635 | $497K |
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) | 23% | 33,469 | 3,621 | $626K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 23% | 3,850 | 3,377 | $622K |
| 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 | 20% | 961 | 841 | $556K |
| 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 | 13% | 866 | 766 | $366K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 5.9% | 6,220 | 2,841 | $162K |
| 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 | 5.4% | 1,743 | 1,483 | $148K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.9% | 2,040 | 1,729 | $108K |
| E0776 | Iv pole | 1.8% | 345 | 343 | $50K |
| 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 | 1.6% | 554 | 427 | $46K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1.5% | 610 | 85 | $40K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 171 | 170 | $21K |
| 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 | <1% | 59 | 53 | $11K |
1 more codes
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 39 | $6K |
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.