Managed care
Inclusa INC
Inclusa INC was paid $6.41M by Medicaid between Aug 2023 and Nov 2024, across 36 billing codes. Its largest line is T4528, Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each — 11% of everything it billed.
33Billing provider infoINCLUSA INC
STEVENS POINT, WI 54481
STEVENS POINT, WI 54481
33aNPI1952844334assigned 12/02/2016
33bProvider typeHealth Maintenance Organization
28Total paid$6.41M
24GClaims116,418
24DCodes billed36
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Health Maintenance Organization providers in Wisconsin
Rank by total paid#3 of 10
Median peer was paid$270K
This provider vs. median24×
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.
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 | |
|---|---|---|---|
| 2023 | 9,124 | $450K | |
| 2024incomplete | 107,294 | $5.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 11% | 11,917 | 11,091 | $734K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 10% | 18,425 | 16,063 | $652K |
| A0100 | Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi | 10.0% | 6,000 | 5,025 | $638K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 10.0% | 13,125 | 12,098 | $638K |
| T2028 | Specialized supply, not otherwise specified, waiver | 8.1% | 7,939 | 6,669 | $522K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 7.9% | 5,548 | 5,033 | $506K |
| 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 | 6.9% | 4,950 | 3,624 | $444K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.6% | 9,798 | 9,038 | $421K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 3.8% | 3,063 | 2,828 | $242K |
| 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 | 3.5% | 2,029 | 1,512 | $226K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 3.4% | 1,898 | 1,643 | $219K |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 2.7% | 3,324 | 3,206 | $173K |
24 more codes
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 2.7% | 2,003 | $170K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 2.3% | 1,784 | $148K |
| T4541 | Incontinence product, disposable underpad, large, each | 1.7% | 4,260 | $110K |
| A4335 | Incontinence supply; miscellaneous | 1.6% | 7,172 | $100K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.5% | 1,619 | $99K |
| A4927 | Gloves, non-sterile, per 100 | 1.3% | 5,315 | $80K |
| 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 | 1.1% | 828 | $69K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 1,230 | $54K |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each | <1% | 1,275 | $45K |
| B4102 | Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 723 | $43K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 368 | $36K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | <1% | 109 | $13K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 173 | $13K |
| A9150 | Non-prescription drugs | <1% | 389 | $3K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | <1% | 56 | $2K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 14 | $1K |
| T4542 | Incontinence product, disposable underpad, small size, each | <1% | 98 | $1K |
| A4245 | Alcohol wipes, per box | <1% | 446 | $1K |
| E0325 | Urinal; male, jug-type, any material | <1% | 458 | $1K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 23 | $1K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 17 | $757.52 |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 14 | $180.94 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 14 | $123.76 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 14 | $114.00 |
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.
From NPPES
Who's on the registration
Authorized officialTAYLOR, JASON (CHIEF FINANCIAL OFFICER)
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.