NPI: 1114921798 · WINFIELD, KS 67156 · 183500000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 307 | $21K |
| 2019 | 654 | $51K |
| 2020 | 719 | $36K |
| 2021 | 165 | $15K |
| 2022 | 42 | $2K |
| 2023 | 110 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 1,021 | 609 | $91K |
| B4150 | Ef complet w/intact nutrient | 547 | 296 | $32K |
| T4523 | Adult size brief/diaper lg | 80 | 65 | $5K |
| B4034 | Enter feed supkit syr by day | 25 | 24 | $490.98 |
| A5120 | Skin barrier, wipe or swab | 16 | 16 | $106.08 |
| 90686 | 75 | 74 | $57.09 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 45 | 44 | $18.24 |
| T4541 | Large disposable underpad | 13 | 13 | $0.00 |
| A4520 | Incontinence garment anytype | 33 | 33 | $0.00 |
| G0008 | Admin influenza virus vac | 142 | 139 | $0.00 |