1962436592

1962436592 was paid $164K by Medicaid between Jan 2018 and Aug 2023, across 4 billing codes. Its largest line is A4221, Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) — 81% of everything it billed.

33Billing provider info1962436592

33aNPI1962436592

33bProvider type—

28Total paid$164K

24GClaims2,996

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2023

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	409	$52K
2019	709	$45K
2020	793	$46K
2021	217	$6K
2022	429	$9K
2023	439	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	81%	1,593	532	$133K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12%	820	342	$19K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	6.5%	570	394	$11K
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	<1%	13	12	$521.65

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.