NPI: 1093285330 · ALBUQUERQUE, NM 87113 · Customized Equipment (DME) · NPI assigned 11/29/2018
Authorized official MATUKEWICZ, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | MATUKEWICZ, JEFFREY (SECRETARY) |
| NPI Enumeration Date | 11/29/2018 |
Other providers sharing the same authorized official: MATUKEWICZ, JEFFREY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 139 | $7K |
| 2021 | 529 | $35K |
| 2022 | 1,988 | $172K |
| 2023 | 5,656 | $425K |
| 2024 | 7,799 | $1.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0108 | Wheelchair component or accessory, not otherwise specified | 1,827 | 703 | $253K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 189 | 177 | $232K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 1,075 | 788 | $142K |
| K0005 | Ultralightweight wheelchair | 75 | 72 | $126K |
| B9998 | Noc for enteral supplies | 702 | 581 | $107K |
| E1399 | Durable medical equipment, miscellaneous | 103 | 31 | $100K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 419 | 399 | $96K |
| 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, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 187 | 166 | $66K |
| 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 fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 434 | 414 | $57K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 428 | 414 | $54K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 413 | 314 | $40K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 723 | 640 | $32K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 370 | 351 | $31K |
| K0040 | Adjustable angle footplate, each | 307 | 239 | $30K |
| 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 | 185 | 159 | $28K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | 254 | 250 | $24K |
| E2607 | Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth | 110 | 102 | $23K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | 217 | 205 | $22K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 219 | 205 | $18K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 269 | 213 | $15K |
| B9002 | Enteral nutrition infusion pump, any type | 14 | 14 | $13K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 12 | 12 | $13K |
| A4322 | Irrigation syringe, bulb or piston, each | 541 | 513 | $13K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | 268 | 244 | $12K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | 1,388 | 1,334 | $11K |
| A4927 | Gloves, non-sterile, per 100 | 1,167 | 1,047 | $11K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 133 | 125 | $10K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | 41 | 39 | $9K |
| A4456 | Adhesive remover, wipes, any type, each | 604 | 584 | $8K |
| A4554 | Disposable underpads, all sizes | 279 | 268 | $7K |
| E2213 | Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each | 152 | 119 | $6K |
| A5057 | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each | 26 | 26 | $6K |
| E1161 | Manual adult size wheelchair, includes tilt in space | 12 | 12 | $6K |
| E2211 | Manual wheelchair accessory, pneumatic propulsion tire, any size, each | 136 | 109 | $6K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | 137 | 130 | $6K |
| E2620 | Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware | 14 | 14 | $5K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 85 | 84 | $5K |
| A5120 | Skin barrier, wipes or swabs, each | 528 | 514 | $5K |
| A4367 | Ostomy belt, each | 424 | 410 | $4K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 363 | 358 | $3K |
| A4371 | Ostomy skin barrier, powder, per oz | 585 | 564 | $2K |
| A4452 | Tape, waterproof, per 18 square inches | 57 | 55 | $1K |
| E0956 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | 17 | 13 | $1K |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | 43 | 36 | $1K |
| E0960 | Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware | 13 | 12 | $1K |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | 326 | 311 | $1K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 38 | 26 | $844.53 |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | 13 | 12 | $820.11 |
| E2219 | Manual wheelchair accessory, foam caster tire, any size, each | 16 | 12 | $686.32 |
| K0038 | Leg strap, each | 13 | 13 | $585.61 |
| A4450 | Tape, non-waterproof, per 18 square inches | 148 | 146 | $393.95 |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | 12 | 12 | $182.77 |