NPI: 1154567923 · SAN BENITO, TX 78586 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,350 | $148K |
| 2019 | 2,461 | $131K |
| 2020 | 3,217 | $155K |
| 2021 | 6,635 | $334K |
| 2022 | 7,160 | $369K |
| 2023 | 10,372 | $550K |
| 2024 | 12,793 | $693K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 14,721 | 14,593 | $586K |
| T4527 | Adult size pull-on lg | 3,351 | 3,322 | $481K |
| T4528 | Adult size pull-on xl | 1,470 | 1,461 | $267K |
| T4532 | Ped size pull-on lg | 1,591 | 1,570 | $227K |
| T4534 | Youth size pull-on | 1,757 | 1,736 | $208K |
| T4526 | Adult size pull-on med | 1,732 | 1,718 | $205K |
| T4535 | Disposable liner/shield/pad | 4,144 | 4,101 | $190K |
| T4533 | Youth size brief/diaper | 724 | 713 | $75K |
| A4335 | Incontinence supply | 14,851 | 14,712 | $73K |
| T4525 | Adult size pull-on sm | 544 | 542 | $59K |
| T4531 | Ped size pull-on sm/med | 53 | 52 | $5K |
| T4530 | Ped size brief/diaper lg | 50 | 50 | $5K |