PEDIATRIC HOME RESPIRATORY SERVICES LLC
NPI: 1932266632
· ROSEVILLE, MN 55113
· 3336H0001X
$14.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,847 |
$1.26M |
| 2019 |
9,769 |
$1.46M |
| 2020 |
12,105 |
$1.91M |
| 2021 |
11,536 |
$1.83M |
| 2022 |
14,443 |
$2.47M |
| 2023 |
15,171 |
$2.90M |
| 2024 |
17,131 |
$2.36M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1559 |
Hizentra injection |
3,267 |
1,800 |
$4.89M |
| S9061 |
Medical supplies and equipme |
7,954 |
2,374 |
$2.35M |
| S9590 |
Ht irrigation diem |
6,972 |
1,008 |
$1.65M |
| J3490 |
Drugs unclassified injection |
24,339 |
2,185 |
$1.25M |
| 99601 |
|
9,861 |
3,198 |
$1.16M |
| S9542 |
Ht inj noc per diem |
8,368 |
2,120 |
$608K |
| S9379 |
Hit noc per diem |
4,974 |
939 |
$539K |
| B4185 |
Pn soln nos 10 grams lipids |
3,891 |
676 |
$530K |
| J7682 |
Tobramycin non-comp unit |
611 |
470 |
$299K |
| 99602 |
Nursing care in home rn |
2,341 |
588 |
$237K |
| A4216 |
Sterile water/saline, 10 ml |
8,557 |
2,799 |
$190K |
| S5502 |
Hit interim cath care |
4,288 |
1,267 |
$163K |
| S9366 |
Hit tpn 2 liter diem |
379 |
79 |
$159K |
| J3260 |
Tobramycin sulfate injection |
1,114 |
933 |
$118K |
| S9374 |
Hit hydra 1 liter diem |
333 |
118 |
$45K |
| J1580 |
Garamycin gentamicin inj |
2,171 |
821 |
$13K |
| A4217 |
Sterile water/saline, 500 ml |
1,545 |
609 |
$9K |
| S9338 |
Hit immunotherapy diem |
16 |
12 |
$579.41 |
| J7030 |
Normal saline solution infus |
21 |
13 |
$133.75 |