1952353625

1952353625 was paid $67K by Medicaid between Jan 2018 and Apr 2022, across 10 billing codes. Its largest line is B9998, Noc for enteral supplies — 39% of everything it billed.

33Billing provider info1952353625

33aNPI1952353625

33bProvider type—

28Total paid$67K

24GClaims8,065

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2022

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	2,112	$54K
2019	2,218	$11K
2020	1,852	$2K
2021	1,473	$0.00
2022	410	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B9998	Noc for enteral supplies	39%	631	474	$26K
99601		25%	3,479	1,140	$17K
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	18%	108	102	$12K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12%	113	107	$8K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	4.1%	27	26	$3K
99602	Nursing care in home rn	1.0%	18	13	$693.00
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	0%	1,091	399	$0.00
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	0%	37	18	$0.00
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)	0%	2,523	1,033	$0.00
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	0%	38	18	$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.