PREFERRED HOMECARE INFUSION, LLC SOS Verified
871 GRIER DR STE B2, LAS VEGAS, NV 89119
NPI Number
1184169807
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: PREFERRED HOMECARE INFUSION, L.L.C.
Entity Number: E0333752016-3
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2016-07-28
Status Changed: 2016-10-18
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | MAVERICK HEALTHCARE GROUP L.L.C. | 4601 EAST HILTON SUITE 100, PHOENIX, AZ, 85034 | Inactive |
| Mmember | MAVERICK HEALTHCARE GROUP L.L.C. | 4601 EAST HILTON SUITE 100, PHOENIX, AZ, 85034 | Inactive |
| Mmember | CRISPIN TEUFEL | 19387 US HIGHWAY 19 N, Clearwater, FL | Inactive |
| Mmember | GREG MCCARTHY | 19387 US HWY 19 N, Clearwater, FL | Inactive |
| Mmember | TRACY VASSALLO | 19387 US HWY 19 N, Clearwater, FL | Inactive |
| Mmember | CRISPIN TEUFEL | 19387 US HIGHWAY 19 N, Clearwater, FL | Inactive |
| Mmember | GREGORY MCCARTHY | 19387 US HIGHWAY 19 N, Clearwater, FL | Inactive |
| Manager | GREGORY MCCARTHY | 19387 US HIGHWAY 19 N, Clearwater, FL | Inactive |
| Manager | JEFFREY BARNHARD | 19387 US 19 North, Clearwater, FL | Active |
| Manager | ANDREW SARANTAPOULAS | 19387 US HWY 19 N, CLEARWATER, FL | Active |
| Manager | CARLOS PAIVA | 19387 US HWY 19 N, CLEARWATER, FL | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 50 | $0 | 0.0% | $0 |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 83 | $0 | 0.0% | $0 |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 12 | $0 | 0.0% | $0 |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber | 47 | $0 | 0.0% | $0 |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0. | 70 | $0 | 0.0% | $0 |