1942225586

1942225586 was paid $728K by Medicaid between Jan 2018 and Mar 2020, across 24 billing codes. Its largest line is 99601, — 34% of everything it billed.

33Billing provider info1942225586

33aNPI1942225586

33bProvider type—

28Total paid$728K

24GClaims10,579

24DCodes billed24

24AFirst – last monthJan 2018 – Mar 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	6,123	$443K
2019	3,774	$258K
2020	682	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99601		34%	3,012	1,114	$251K
99602	Nursing care in home rn	20%	1,052	562	$144K
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	19%	619	280	$136K
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	7.9%	785	323	$57K
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	7.7%	273	244	$56K
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	7.5%	728	476	$55K
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	<1%	119	61	$6K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	225	79	$4K
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%	19	12	$3K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	<1%	58	26	$3K
A4927	Gloves, non-sterile, per 100	<1%	1,101	556	$3K
A6248	Hydrogel dressing, wound filler, gel, per fluid ounce	<1%	444	183	$2K

12 more codes

T1001	Nursing assessment / evaluation	<1%	49	$2K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	<1%	134	$2K
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%	16	$1K
A4245	Alcohol wipes, per box	<1%	824	$991.29
A6457	Tubular dressing with or without elastic, any width, per linear yard	<1%	443	$565.50
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	26	$409.17
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	<1%	210	$307.00
A4649	Surgical supply; miscellaneous	<1%	75	$180.32
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	16	$163.56
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	<1%	68	$127.35
A5120	Skin barrier, wipes or swabs, each	<1%	80	$56.19
A4657	Syringe, with or without needle, each	<1%	203	$44.63

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.