Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Byram Healthcare Centers, INC.

Byram Healthcare Centers, INC. was paid $9.40M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 13% of everything it billed.

33Billing provider infoBYRAM HEALTHCARE CENTERS, INC.
DALLAS, TX 75231
33aNPI1912952375assigned 05/24/2006
28Total paid$9.40M
24GClaims146,818
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Texas

Rank by total paid#17 of 566
Median peer was paid$142K
This provider vs. median66×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BERNOCCHI, PERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
2018374$10K
2019997$94K
20208,028$505K
202130,735$1.96M
202233,486$2.10M
202339,824$2.46M
2024incomplete33,374$2.26M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 13% 5,657 5,286 $1.22M
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 11% 4,922 4,761 $1.03M
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 9.7% 4,370 4,004 $915K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 5.1% 4,190 3,822 $477K
E0603 Breast pump, electric (ac and/or dc), any type 3.6% 3,855 3,631 $342K
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 3.6% 2,959 2,614 $338K
E0784 External ambulatory infusion pump, insulin 3.5% 413 390 $328K
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 3.4% 1,771 1,590 $318K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 3.2% 4,182 3,964 $296K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 2.6% 2,405 2,208 $246K
A6252 Specialty absorptive 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 2.5% 4,510 4,209 $239K
A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each 2.4% 1,903 1,797 $223K
84 more codes
A4230 Infusion set for external insulin pump, non needle cannula type 2.3% 2,528 $220K
A4353 Intermittent urinary catheter, with insertion supplies 2.2% 509 $209K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 2.0% 1,382 $191K
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories 1.9% 364 $176K
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 1.8% 1,046 $170K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 1.7% 2,493 $160K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1.7% 1,678 $158K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 1.7% 2,112 $157K
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 1.5% 5,788 $145K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each 1.2% 2,801 $113K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 1.2% 530 $108K
A4452 Tape, waterproof, per 18 square inches <1% 6,832 $93K
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 1,033 $91K
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard <1% 481 $89K
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce <1% 2,991 $83K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each <1% 2,073 $77K
A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each <1% 617 $74K
A4232 Syringe with needle for external insulin pump, sterile, 3 cc <1% 2,439 $66K
A5121 Skin barrier; solid, 6 x 6 or equivalent, each <1% 970 $66K
A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each <1% 893 $59K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 1,540 $58K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 8,440 $58K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 1,310 $57K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each <1% 831 $46K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 6,476 $45K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 2,047 $42K
A4456 Adhesive remover, wipes, any type, each <1% 5,040 $41K
A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each <1% 704 $41K
A5120 Skin barrier, wipes or swabs, each <1% 5,720 $36K
A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each <1% 484 $35K
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% 946 $34K
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard <1% 1,000 $33K
A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard <1% 613 $31K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 1,817 $27K
A4554 Disposable underpads, all sizes <1% 1,162 $25K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 2,507 $25K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system <1% 122 $24K
A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each <1% 203 $21K
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 1,408 $17K
A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each <1% 249 $17K
A4450 Tape, non-waterproof, per 18 square inches <1% 3,614 $16K
A4217 Sterile water/saline, 500 ml <1% 2,955 $16K
A6260 Wound cleansers, any type, any size <1% 1,580 $14K
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 628 $12K
A4927 Gloves, non-sterile, per 100 <1% 1,938 $12K
A6248 Hydrogel dressing, wound filler, gel, per fluid ounce <1% 259 $11K
A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard <1% 483 $10K
A4310 Insertion tray without drainage bag and without catheter (accessories only) <1% 1,413 $10K
A4371 Ostomy skin barrier, powder, per oz <1% 2,191 $10K
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 107 $8K
A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each <1% 71 $7K
A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each <1% 98 $7K
A4367 Ostomy belt, each <1% 1,382 $6K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each <1% 875 $6K
A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each <1% 172 $6K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 525 $6K
A6457 Tubular dressing with or without elastic, any width, per linear yard <1% 383 $5K
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per oz <1% 1,405 $5K
A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches <1% 66 $4K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 44 $4K
A4259 Lancets, per box of 100 <1% 1,221 $4K
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard <1% 220 $3K
A6217 Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 479 $3K
A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce <1% 39 $3K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 121 $2K
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 732 $2K
A4373 Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each <1% 14 $1K
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply <1% 13 $1K
A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each <1% 27 $866.71
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 17 $856.82
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 14 $836.08
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard <1% 12 $692.58
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 12 $656.57
A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 16 $550.02
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 61 $526.21
A6220 Gauze, non-impregnated, 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% 12 $474.66
A4335 Incontinence supply; miscellaneous <1% 127 $472.85
A4333 Urinary catheter anchoring device, adhesive skin attachment, each <1% 51 $253.18
A4224 Supplies for maintenance of insulin infusion catheter, per week <1% 15 $227.98
A4320 Irrigation tray with bulb or piston syringe, any purpose <1% 17 $198.44
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each <1% 14 $129.78
A4322 Irrigation syringe, bulb or piston, each <1% 15 $62.03
A4245 Alcohol wipes, per box <1% 36 $43.50
T4541 Incontinence product, disposable underpad, large, each 0% 28 $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 officialBERNOCCHI, PERRY (CEO & PRESIDENT)
Parent organizationBYRAM HOLDINGS I, INC.
Same official

Other billing entities under BERNOCCHI, PERRY

Full network →
ProviderLocationPaid
Byram Healthcare Centers, INC.Downers Grove, IL$142.28M
Byram Healthcare Centers, INC.Portland, OR$123.87M
Byram Healthcare Centers, INC.White Plains, NY$106.55M
Byram Healthcare Centers, INCWorcester, MA$25.23M
Byram Healthcare Centers, INC.Kennesaw, GA$13.29M
Apria Healthcare LLCConcord, CA$8.02M
Apria Healthcare LLCCentennial, CO$7.64M
Apria Healthcare LLCColorado Springs, CO$7.32M
Apria Healthcare LLCSharon Hill, PA$7.06M
Apria Healthcare LLCBolingbrook, IL$7.02M
Apria Healthcare LLCFife, WA$6.71M
Apria Healthcare LLCAlbuquerque, NM$5.79M
Apria Healthcare LLCLinthicum, MD$4.81M
Byram Healthcare Centers, INC.Clearwater, FL$4.47M
Apria Healthcare LLCPeoria, AZ$4.05M
Apria Healthcare LLCBakersfield, CA$3.30M
Apria Healthcare LLCFayetteville, NC$2.79M
Apria Healthcare LLCCromwell, CT$2.79M
Apria Healthcare LLCEffingham, IL$2.32M
Apria Healthcare LLCEl Segundo, CA$2.31M

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