NPI: 1124029442 · MYRTLE BEACH, SC 29577 · 251J00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,975 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 454 | 424 | $14K |
| X1939 | 224 | 224 | $14K | |
| T5999 | Supply, nos | 911 | 841 | $7K |
| T4526 | Adult size pull-on med | 145 | 145 | $6K |
| T4535 | Disposable liner/shield/pad | 191 | 191 | $5K |
| T4527 | Adult size pull-on lg | 38 | 38 | $2K |
| T4528 | Adult size pull-on xl | 12 | 12 | $748.80 |