1942218748

1942218748 was paid $2.16M by Medicaid between Jan 2018 and May 2020, across 27 billing codes. Its largest line is 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 — 22% of everything it billed.

33Billing provider info1942218748

33aNPI1942218748

33bProvider type—

28Total paid$2.16M

24GClaims17,519

24DCodes billed27

24AFirst – last monthJan 2018 – May 2020

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	7,203	$796K
2019	7,057	$938K
2020	3,259	$421K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	22%	639	469	$468K
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	15%	734	239	$329K
99601		12%	2,651	867	$256K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	10%	2,472	994	$219K
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	9.1%	186	64	$196K
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	7.4%	749	372	$160K
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	7.2%	2,625	1,197	$156K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5.1%	1,474	939	$111K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	2.9%	994	256	$62K
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	2.7%	1,117	566	$57K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2.0%	1,549	872	$43K
J3370	Injection, vancomycin hcl, 500 mg	1.3%	133	38	$28K

15 more codes

B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	<1%	178	$21K
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%	27	$13K
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	<1%	686	$9K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	<1%	494	$8K
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	<1%	21	$7K
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%	57	$4K
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	59	$2K
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	149	$1K
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%	33	$1K
S9560	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	15	$960.00
A4930	Gloves, sterile, per pair	<1%	163	$457.05
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	<1%	163	$359.70
J7030	Infusion, normal saline solution , 1000 cc	<1%	79	$315.93
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	59	$137.72
A4322	Irrigation syringe, bulb or piston, each	<1%	13	$73.60

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.