1982983862

1982983862 was paid $204K by Medicaid between Jan 2018 and Sep 2020, across 7 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 info1982983862

33aNPI1982983862

33bProvider type—

28Total paid$204K

24GClaims3,126

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2020

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	614	$47K
2019	1,255	$84K
2020	1,257	$74K

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	32%	945	610	$65K
B4100	Food thickener, administered orally, per ounce	27%	650	419	$55K
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	27%	397	259	$54K
B9998	Noc for enteral supplies	9.4%	752	523	$19K
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	2.2%	18	12	$4K
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	1.8%	25	13	$4K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	<1%	339	161	$2K

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.