Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Waterloo › NPI 1972916310
Supplier

VGM Group, INC.

VGM Group, INC. was paid $5.38M by Medicaid between Jan 2018 and Dec 2024, across 20 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 — 32% of everything it billed.

33Billing provider infoVGM GROUP, INC.
WATERLOO, IA 50701
33aNPI1972916310assigned 06/03/2014
28Total paid$5.38M
24GClaims31,145
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Iowa

Rank by total paid#3 of 344
Median peer was paid$29K
This provider vs. median186×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,231$157K
20192,461$425K
20203,418$570K
20214,444$828K
20225,454$1.10M
20237,784$1.11M
2024incomplete4,353$1.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 32% 3,213 2,785 $1.72M
B9998 Noc for enteral supplies 19% 6,660 3,196 $1.01M
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 12% 1,538 1,057 $667K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 11% 3,218 2,989 $605K
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 5.1% 1,124 824 $275K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 5.0% 1,695 1,435 $268K
A4606 Oxygen probe for use with oximeter device, replacement 3.7% 1,350 812 $199K
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.3% 570 402 $177K
B9002 Enteral nutrition infusion pump, any type 2.6% 1,680 1,548 $141K
A9999 Miscellaneous dme supply or accessory, not otherwise specified 1.8% 4,100 1,140 $98K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1.8% 857 787 $96K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 2,027 1,915 $37K
8 more codes
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 168 $24K
A4657 Syringe, with or without needle, each <1% 2,475 $21K
A4927 Gloves, non-sterile, per 100 <1% 311 $18K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) <1% 16 $14K
A4217 Sterile water/saline, 500 ml <1% 105 $7K
E0562 Humidifier, heated, used with positive airway pressure device <1% 12 $421.94
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 13 $262.80
A4452 Tape, waterproof, per 18 square inches <1% 13 $77.20

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 officialHARBERTS, DAVID (VP, COMPLIANCE & ACCREDITATION)
Parent organizationVGM GROUP, INC.
Same official

Other billing entities under HARBERTS, DAVID

Full network →
ProviderLocationPaid
VGM Group, INC.Waterloo, IA$54.43M
VGM Group, INC.Waterloo, IA$1.45M
VGM Group, INC.Waterloo, IA$20K
VGM Group, INC.Waterloo, IA$154.11

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.