NPI: 1093892044 · BLOOMINGTON, IL 61704 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,110 | $64K |
| 2019 | 516 | $72K |
| 2020 | 167 | $18K |
| 2021 | 113 | $14K |
| 2022 | 68 | $6K |
| 2023 | 331 | $23K |
| 2024 | 3,268 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0603 | Electric breast pump | 1,701 | 1,476 | $191K |
| A4287 | Disp col sto bag breast milk | 2,092 | 1,993 | $64K |
| L4361 | Pneuma/vac walk boot pre ots | 615 | 610 | $57K |
| E0730 | Tens four lead | 232 | 218 | $30K |
| E0935 | Cont pas motion exercise dev | 655 | 104 | $6K |
| L0642 | Lo sag ri an/pos pnl pre ots | 40 | 27 | $6K |
| B4161 | Ef ped hydrolyzed/amino acid | 13 | 12 | $5K |
| L4387 | Non-pneum walk boot pre ots | 40 | 40 | $4K |
| L3908 | Who cock-up nonmolde pre ots | 143 | 138 | $3K |
| A4595 | Tens suppl 2 lead per month | 42 | 41 | $1K |