NPI: 1144396102 · WATERTOWN, SD 57201 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/28/2006
Authorized official DIELEMAN, SANDRA controls 20+ related entities in our dataset. Read more
| Authorized Official | DIELEMAN, SANDRA (PRESIDENT/CEO) |
| NPI Enumeration Date | 11/28/2006 |
Other providers sharing the same authorized official: DIELEMAN, SANDRA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 469 | $40K |
| 2019 | 585 | $40K |
| 2020 | 550 | $32K |
| 2021 | 964 | $62K |
| 2022 | 1,161 | $112K |
| 2023 | 1,078 | $82K |
| 2024 | 857 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 2,086 | 1,941 | $139K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 563 | 470 | $132K |
| A4335 | Incontinence supply; miscellaneous | 994 | 907 | $52K |
| T2028 | Specialized supply, not otherwise specified, waiver | 429 | 400 | $43K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 493 | 452 | $21K |
| E1392 | Portable oxygen concentrator, rental | 740 | 675 | $15K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 99 | 94 | $11K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 159 | 137 | $10K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 70 | 66 | $5K |
| 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 | 19 | 12 | $3K |
| A7038 | Filter, disposable, used with positive airway pressure device | 12 | 12 | $54.52 |