NPI: 1285140863 · MORRISVILLE, NC 27560 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/19/2017
| Authorized Official | WEGNER, STEVEN (PRESIDENT) |
| NPI Enumeration Date | 12/19/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $90K |
| 2019 | 239 | $168K |
| 2020 | 164 | $195K |
| 2021 | 44 | $70K |
| 2023 | 27 | $27K |
| 2024 | 15 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 629 | 587 | $577K |