NPI: 1194745992 · MANKATO, MN 56001 · 314000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 513 | $13K |
| 2019 | 718 | $36K |
| 2020 | 984 | $67K |
| 2021 | 886 | $57K |
| 2022 | 564 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 732 | 710 | $62K |
| T4526 | Adult size pull-on med | 928 | 786 | $52K |
| T4535 | Disposable liner/shield/pad | 1,163 | 1,054 | $50K |
| T2029 | Special med equip, noswaiver | 378 | 298 | $16K |
| T1030 | Rn home care per diem | 345 | 132 | $15K |
| T4528 | Adult size pull-on xl | 91 | 87 | $8K |
| 90694 | 14 | 14 | $549.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $158.20 |