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NPI 1386674067 · Mendota Heights, MN · Home Infusion Therapy Pharmacy
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Coram Alternate Site Services Inc is a home infusion therapy pharmacy provider located in Mendota Heights, Minnesota. This profile covers 2 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Coram Alternate Site Services Inc |
| Address | 2345 Waters Dr |
| City | Mendota Heights |
| State | MN |
| ZIP | 55120 |
| Taxonomy | Home Infusion Therapy Pharmacy |
| NPI Enumerated | July 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.5M |
| Medicare | $66.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0069 | Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's… | 2,720 | $20 | $62.7K |
| G0089 | Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the… | 140 | $20 | $2.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 5,460 | $200 | $1.1M |
| 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… | 6,040 | $130 | $760.9K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4,370 | $140 | $589.3K |
| 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… | 750 | $740 | $549K |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits… | 8,730 | $60 | $480.2K |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 150 | $1,580 | $235.1K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 580 | $310 | $179.9K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or… | 610 | $160 | $98.7K |
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 840 | $110 | $89.3K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 820 | $110 | $86.4K |
Showing 1–10 of 23
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
23 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 3 | 10 | 580 | $510 | $5M |
| 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… | 3 | 10 | 750 | $1,190 | $1.8M |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 3 | 10 | 230 | $1,500 | $1.8M |
| 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,… | 7 | 10 | 990 | $230 | $1.4M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5 | 20 | 960 | $250 | $1.3M |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits… | 3 | 10 | 9,440 | $100 | $986.9K |
| B9998 | Noc for enteral supplies | 7 | 10 | 120 | $110 | $892.4K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 3 | 10 | 620 | $130 | $864K |
| 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… | 4 | 10 | 1,280 | $210 | $719.1K |
| S9494 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and… | 2 | 10 | 2,680 | $240 | $642.4K |
Showing 1–10 of 23
Other providers in the same ZIP code as Coram Alternate Site Services Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beacon Specialized Living Minnesota, Inc. | MN | Assisted Living Facility | $0 | $76.1M |
| Dungarvin Minnesota LLC | MN | Community/Behavioral Health Agency | $0 | $66.3M |
| Ellie Family Services, Pllp | MN | Community/Behavioral Health Agency | $0 | $34.4M |
| Riyo International Corporation | MN | Adolescent and Children Mental Health Clinic/Center | $0 | $7.7M |
| Residential Transitions Incorporated | MN | Community/Behavioral Health Agency | $0 | $7.3M |
| Katherine Piehl | MN | Nurse Practitioner | $668.3K | $0 |
| Walgreen Co | MN | Pharmacy | $130.2K | $0 |
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