Agency
Knoxville Home Therapies LLC
Knoxville Home Therapies LLC was paid $11.74M by Medicaid between Jan 2018 and Nov 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 — 30% of everything it billed.
33Billing provider infoKNOXVILLE HOME THERAPIES LLC
KNOXVILLE, TN 37921
KNOXVILLE, TN 37921
33aNPI1922176650assigned 12/01/2006
33bProvider typeHome Health Agency
28Total paid$11.74M
24GClaims121,584
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Tennessee
Rank by total paid#12 of 100
Median peer was paid$682K
This provider vs. median17×
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 SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 13,528 | $2.29M | |
| 2019 | 13,670 | $2.20M | |
| 2020 | 30,014 | $1.50M | |
| 2021 | 14,947 | $1.53M | |
| 2022 | 11,967 | $1.38M | |
| 2023 | 15,715 | $1.50M | |
| 2024incomplete | 21,743 | $1.34M |
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 | 30% | 12,393 | 5,328 | $3.49M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 22% | 22,873 | 10,611 | $2.58M |
| 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 | 11% | 15,106 | 6,641 | $1.32M |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.3% | 10,280 | 4,927 | $620K |
| 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 | 4.6% | 4,049 | 2,201 | $545K |
| 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 | 4.4% | 4,195 | 1,405 | $515K |
| 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 | 4.2% | 13,550 | 4,427 | $494K |
| 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 | 4.0% | 10,482 | 3,463 | $471K |
| 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 | 2.3% | 2,488 | 841 | $270K |
| 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 | 2.2% | 3,593 | 1,633 | $262K |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.2% | 1,210 | 668 | $260K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.8% | 5,389 | 772 | $211K |
14 more codes
| 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 | 1.6% | 3,493 | $187K |
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 1.1% | 865 | $128K |
| 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% | 2,925 | $122K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 3,335 | $78K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 2,385 | $71K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 725 | $27K |
| 99601 | <1% | 511 | $25K | |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 441 | $25K |
| 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% | 744 | $22K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 133 | $9K |
| 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% | 83 | $5K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 186 | $4K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 89 | $173.06 |
| S5502 | Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) | <1% | 61 | $163.44 |
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 officialSHAPIRO, MICHAEL (PRESIDENT & CFO)
Parent organizationBIOSCRIP, INC.
| Provider | Location | Paid |
|---|---|---|
| Able Healthcare Service, INC. | Merrick, NY | $110.27M |
| New England Home Therapies, INC. | Southborough, MA | $23.29M |
| Clinical Specialties INC. | Hudson, OH | $12.59M |
| Bioscrip Infusion Services, LLC | Tampa, FL | $12.46M |
| Vanguard Dermatology | Brooklyn, NY | $10.72M |
| Homechoice Partners, LLC | Duncan, SC | $7.95M |
| Professional Home Care Services,inc | Cromwell, CT | $7.80M |
| Infusion Partners, LLC | Canfield, OH | $7.53M |
| Professional Home Care Services, INC. | Cromwell, CT | $4.44M |
| Option Care Enterprises, INC. | Eatontown, NJ | $1.32M |
| East Goshen Pharmacy, LLC | Somers Point, NJ | $1.23M |
| Option Care Enterprises, INC. | Lincoln, NE | $993K |
| Homechoice Partners LLC | Fayetteville, NC | $907K |
| New England Home Therapies, INC. | Smithfield, RI | $670K |
| Option Care Enterprises, INC. | Pensacola, FL | $524K |
| Option Care Enterprises, INC. | Chantilly, VA | $479K |
| Wilcox Medical, INC | Rutland, VT | $445K |
| Bioscrip Pharmacy(Ny), INC | Lake Success, NY | $247K |
| Able Health Care Service, INC. | Merrick, NY | $175K |
| Option Care Enterprises INC | Ashland, KY | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.