Home ›
NPI 1912953431
NPI deactivated
1912953431
1912953431 was paid $12.51M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 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 — 31% of everything it billed.
33Billing provider info1912953431
33aNPI1912953431
33bProvider type—
28Total paid$12.51M
24GClaims78,164
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 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 | 5,827 | $822K | |
| 2019 | 7,839 | $1.19M | |
| 2020 | 9,423 | $1.36M | |
| 2021 | 10,741 | $1.62M | |
| 2022 | 13,237 | $2.12M | |
| 2023 | 15,095 | $2.55M | |
| 2024incomplete | 16,002 | $2.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 8,696 | 7,835 | $3.91M |
| 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 | 20% | 19,916 | 18,273 | $2.48M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 13% | 11,012 | 9,698 | $1.60M |
| 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 | 9.2% | 3,556 | 3,226 | $1.15M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 3.9% | 2,760 | 439 | $489K |
| 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 | 3.8% | 3,276 | 2,776 | $471K |
| 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 | 3.5% | 4,054 | 3,564 | $434K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 2.8% | 1,376 | 470 | $356K |
| B9002 | Enteral nutrition infusion pump, any type | 2.3% | 4,354 | 4,097 | $288K |
| B4224 | Parenteral nutrition administration kit, per day | 2.0% | 1,976 | 463 | $253K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | 1.6% | 1,190 | 1,094 | $205K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1.2% | 3,213 | 3,081 | $149K |
14 more codes
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 2,257 | $147K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 298 | $106K |
| B9998 | Noc for enteral supplies | <1% | 1,922 | $84K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 3,279 | $73K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 1,908 | $72K |
| 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% | 435 | $64K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 773 | $42K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 429 | $38K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 303 | $31K |
| A4211 | Supplies for self-administered injections | <1% | 98 | $31K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 702 | $18K |
| E0776 | Iv pole | <1% | 196 | $16K |
| B4082 | Nasogastric tubing without stylet | <1% | 112 | $1K |
| 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 | 0% | 73 | $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.