1962725275

1962725275 was paid $157K by Medicaid between Jan 2018 and Sep 2018, across 10 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 68% of everything it billed.

33Billing provider info1962725275

33aNPI1962725275

33bProvider type—

28Total paid$157K

24GClaims2,204

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2018

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	2,204	$157K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	68%	714	532	$106K
B9002	Enteral nutrition infusion pump, any type	9.9%	380	331	$16K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	6.7%	151	46	$11K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4.9%	127	100	$8K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	3.5%	423	143	$5K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2.9%	178	152	$5K
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	2.1%	117	73	$3K
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	1.4%	60	43	$2K
E0781	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient	<1%	16	15	$1K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	0%	38	15	$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.