NPI: 1053050260 · JACKSONVILLE, FL 32256 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/04/2022
| Authorized Official | MYNTTI, MATTHEW (CHIEF TECHNOLOGY OFFICE) |
| NPI Enumeration Date | 06/04/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 272 | $17K |
| 2024 | 104 | $226.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A6010 | Collagen based wound filler, dry form, sterile, per gram of collagen | 43 | 43 | $16K |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | 257 | 234 | $363.96 |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 49 | 49 | $278.80 |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | 27 | 26 | $0.00 |