NPI: 1073509444 · LADSON, SC 29456 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,184 | $413K |
| 2019 | 9,206 | $335K |
| 2020 | 10,017 | $376K |
| 2021 | 10,301 | $394K |
| 2022 | 11,259 | $449K |
| 2023 | 11,388 | $460K |
| 2024 | 11,086 | $443K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 14,666 | 13,490 | $495K |
| T4534 | Youth size pull-on | 2,581 | 2,477 | $306K |
| T5999 | Supply, nos | 27,063 | 21,805 | $284K |
| T4528 | Adult size pull-on xl | 3,535 | 3,064 | $238K |
| T4527 | Adult size pull-on lg | 4,247 | 3,784 | $225K |
| T4526 | Adult size pull-on med | 3,681 | 3,017 | $183K |
| X1939 | 2,994 | 2,983 | $181K | |
| T4523 | Adult size brief/diaper lg | 1,810 | 1,431 | $160K |
| T4543 | Adult disp brief/diap abv xl | 1,137 | 925 | $156K |
| T4522 | Adult size brief/diaper med | 1,921 | 1,512 | $144K |
| T4525 | Adult size pull-on sm | 1,650 | 1,416 | $118K |
| T4535 | Disposable liner/shield/pad | 3,753 | 3,393 | $116K |
| X1915 | 707 | 679 | $101K | |
| T2028 | Special supply, nos waiver | 772 | 662 | $93K |
| A4927 | Non-sterile gloves | 3,542 | 2,278 | $39K |
| T4533 | Youth size brief/diaper | 76 | 75 | $11K |
| T4524 | Adult size brief/diaper xl | 67 | 57 | $10K |
| E0602 | Manual breast pump | 185 | 184 | $7K |
| T4532 | Ped size pull-on lg | 24 | 24 | $3K |
| E0570 | Nebulizer with compression | 30 | 28 | $1K |