Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1992845960

1992845960 was paid $1.26M by Medicaid between Jan 2018 and May 2023, across 21 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 — 47% of everything it billed.

33Billing provider info1992845960
33aNPI1992845960
33bProvider type—
28Total paid$1.26M
24GClaims10,892
24DCodes billed21
24AFirst – last monthJan 2018 – May 2023
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20181,437$198K
20191,584$210K
20201,513$204K
20211,967$241K
20222,871$294K
20231,520$112K
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 47% 2,464 1,933 $590K
B9002 Enteral nutrition infusion pump, any type 15% 2,186 1,921 $192K
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 7.4% 436 337 $93K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 7.2% 763 593 $90K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 3.9% 457 414 $49K
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 3.7% 282 216 $47K
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 3.7% 294 228 $47K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each 3.4% 868 768 $43K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each 2.7% 463 425 $34K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 1.2% 1,008 837 $15K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 1.2% 74 61 $15K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each <1% 237 214 $11K
9 more codes
A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each <1% 139 $9K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each <1% 206 $9K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 464 $7K
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% 13 $6K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 42 $1K
A4371 Ostomy skin barrier, powder, per oz <1% 409 $1K
A5120 Skin barrier, wipes or swabs, each <1% 43 $293.14
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 28 $225.30
A4452 Tape, waterproof, per 18 square inches <1% 16 $71.01

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.