NPI: 1063421402 · DETROIT, MI 48235 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/05/2006
100% of spending on code B4150 with only 1 total codes billed. Highly concentrated billing profile.
| Authorized Official | MOORE, WANDA (PRESIDENT/CEO) |
| NPI Enumeration Date | 08/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,736 | $324K |
| 2019 | 1,623 | $308K |
| 2020 | 1,377 | $265K |
| 2021 | 994 | $203K |
| 2022 | 1,023 | $233K |
| 2023 | 1,008 | $234K |
| 2024 | 870 | $282K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 8,631 | 8,631 | $1.85M |