Supplier
Tenderheart Health Outcomes, INC.
Tenderheart Health Outcomes, INC. was paid $145.15M by Medicaid between Jan 2018 and Dec 2024, across 138 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 17% of everything it billed.
33Billing provider infoTENDERHEART HEALTH OUTCOMES, INC.
AUSTIN, TX 78744
AUSTIN, TX 78744
33aNPI1972583078assigned 01/17/2006
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$145.15M
24GClaims6,705,292
24DCodes billed138
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas
Rank by total paid#2 of 81
Median peer was paid$653K
This provider vs. median222×
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 | |
|---|---|---|---|
| 2018 | 322,622 | $12.37M | |
| 2019 | 353,975 | $13.08M | |
| 2020 | 567,152 | $15.68M | |
| 2021 | 1,238,003 | $22.77M | |
| 2022 | 1,332,509 | $23.72M | |
| 2023 | 1,529,838 | $29.21M | |
| 2024incomplete | 1,361,193 | $28.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 17% | 408,516 | 403,635 | $24.30M |
| A4554 | Disposable underpads, all sizes | 13% | 1,277,478 | 1,262,375 | $19.22M |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 13% | 370,202 | 365,901 | $18.32M |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 12% | 248,908 | 245,878 | $17.35M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 6.9% | 569,080 | 546,871 | $10.03M |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 5.8% | 100,535 | 99,420 | $8.41M |
| A4335 | Incontinence supply; miscellaneous | 4.6% | 1,907,676 | 1,886,204 | $6.74M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 2.7% | 115,843 | 113,464 | $3.88M |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 2.7% | 96,394 | 95,147 | $3.85M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.3% | 92,233 | 91,031 | $3.31M |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 2.3% | 948,307 | 938,704 | $3.28M |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 2.0% | 54,151 | 53,471 | $2.92M |
126 more codes
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 1.7% | 35,262 | $2.47M |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 1.6% | 57,113 | $2.25M |
| 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 | 1.3% | 14,441 | $1.86M |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 9,699 | $1.44M |
| A4353 | Intermittent urinary catheter, with insertion supplies | <1% | 3,101 | $1.42M |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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% | 6,087 | $1.28M |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 25,443 | $1.15M |
| 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% | 3,914 | $1.09M |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 11,228 | $962K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 31,602 | $962K |
| 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% | 4,233 | $956K |
| A4670 | Automatic blood pressure monitor | <1% | 9,327 | $466K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 13,107 | $419K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 10,316 | $396K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 4,836 | $395K |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | <1% | 839 | $368K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 2,937 | $363K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 3,627 | $336K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 17,343 | $327K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 442 | $296K |
| B9998 | Noc for enteral supplies | <1% | 4,750 | $295K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 4,340 | $276K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 1,524 | $268K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 5,207 | $261K |
| K0003 | Lightweight wheelchair | <1% | 1,176 | $186K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 2,657 | $186K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 848 | $150K |
| K0001 | Standard wheelchair | <1% | 1,476 | $141K |
| A5061 | Ostomy pouch, drainable; with barrier attached, (1 piece), each | <1% | 1,593 | $130K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 1,368 | $130K |
| E0570 | Nebulizer, with compressor | <1% | 1,952 | $106K |
| E0248 | Transfer bench, heavy duty, for tub or toilet with or without commode opening | <1% | 629 | $94K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 529 | $84K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 1,187 | $79K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 994 | $73K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 1,238 | $71K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | <1% | 2,029 | $68K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 832 | $67K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 65,934 | $67K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 907 | $64K |
| A4259 | Lancets, per box of 100 | <1% | 13,153 | $64K |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 944 | $60K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 7,287 | $57K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 296 | $57K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 619 | $57K |
| E0246 | Transfer tub rail attachment | <1% | 1,335 | $54K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 65 | $52K |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | <1% | 1,937 | $50K |
| E0243 | Toilet rail, each | <1% | 907 | $50K |
| E0244 | Raised toilet seat | <1% | 1,824 | $50K |
| A4377 | Ostomy pouch, drainable, for use on faceplate, plastic, each | <1% | 881 | $49K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 634 | $49K |
| T4542 | Incontinence product, disposable underpad, small size, each | <1% | 1,992 | $46K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 2,013 | $43K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | <1% | 963 | $41K |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | <1% | 3,726 | $36K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | <1% | 1,830 | $34K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 1,976 | $33K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 741 | $33K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 4,493 | $32K |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | <1% | 1,290 | $32K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 5,842 | $32K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 1,283 | $31K |
| A4217 | Sterile water/saline, 500 ml | <1% | 3,964 | $30K |
| A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each | <1% | 267 | $26K |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 188 | $26K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 2,513 | $26K |
| A4402 | Lubricant, per ounce | <1% | 7,320 | $26K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 3,089 | $24K |
| A4424 | Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each | <1% | 259 | $21K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 4,020 | $20K |
| A6260 | Wound cleansers, any type, any size | <1% | 809 | $19K |
| E0277 | Powered pressure-reducing air mattress | <1% | 89 | $19K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 149 | $18K |
| K0007 | Extra heavy duty wheelchair | <1% | 83 | $16K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,438 | $15K |
| K0006 | Heavy duty wheelchair | <1% | 95 | $14K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 4,598 | $14K |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | <1% | 166 | $13K |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | <1% | 786 | $12K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 1,112 | $12K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 282 | $11K |
| E0245 | Tub stool or bench | <1% | 359 | $11K |
| A4245 | Alcohol wipes, per box | <1% | 9,217 | $11K |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each | <1% | 87 | $11K |
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | <1% | 37 | $8K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 2,664 | $8K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 207 | $7K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 147 | $7K |
| A5112 | Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each | <1% | 194 | $6K |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | <1% | 3,499 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 2,135 | $4K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 1,387 | $4K |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | <1% | 447 | $4K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | <1% | 1,099 | $4K |
| A4331 | Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each | <1% | 1,655 | $3K |
| A4426 | Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each | <1% | 72 | $2K |
| A4369 | Ostomy skin barrier, liquid (spray, brush, etc.), per oz | <1% | 432 | $2K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | <1% | 12 | $2K |
| A6213 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | <1% | 12 | $2K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 26 | $2K |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | <1% | 12 | $2K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 1,900 | $2K |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | <1% | 17 | $1K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 54 | $1K |
| A4258 | Spring-powered device for lancet, each | <1% | 623 | $1K |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 85 | $1K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 14 | $1K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | <1% | 2,007 | $1K |
| E0635 | Patient lift, electric with seat or sling | <1% | 12 | $1K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 35 | $1K |
| A5200 | Percutaneous catheter/tube anchoring device, adhesive skin attachment | <1% | 38 | $830.73 |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | <1% | 191 | $716.07 |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 12 | $655.88 |
| A9286 | Hygienic item or device, disposable or non-disposable, any type, each | <1% | 1,777 | $606.01 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 42 | $565.44 |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 13 | $348.25 |
| A4256 | Normal, low and high calibrator solution / chips | <1% | 50 | $221.00 |
| A4246 | Betadine or phisohex solution, per pint | <1% | 50 | $175.33 |
| E0325 | Urinal; male, jug-type, any material | <1% | 12 | $94.02 |
| E0156 | Seat attachment, walker | <1% | 85 | $13.21 |
| S9999 | Sales tax | 0% | 30,835 | $0.00 |
| E0621 | Sling or seat, patient lift, canvas or nylon | 0% | 12 | $0.00 |
| A9270 | Non-covered item or service | 0% | 16 | $0.00 |
| E0607 | Home blood glucose monitor | 0% | 49 | $0.00 |
| E0241 | Bath tub wall rail, each | 0% | 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.
From NPPES
Who's on the registration
Authorized officialWADLE, LAWRENCE (COO)