NPI: 1285678490 · IRVING, TX 75063 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 145 | $6K |
| 2021 | 1,050 | $58K |
| 2022 | 418 | $9K |
| 2023 | 327 | $10K |
| 2024 | 488 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 564 | 312 | $47K |
| B4185 | Pn soln nos 10 grams lipids | 171 | 24 | $21K |
| B4224 | Parenteral administration ki | 477 | 38 | $19K |
| B4034 | Enter feed supkit syr by day | 412 | 88 | $8K |
| B9998 | Enteral supp not otherwise c | 68 | 51 | $4K |
| B4220 | Parenteral supply kit premix | 93 | 26 | $4K |
| A4216 | Sterile water/saline, 10 ml | 544 | 255 | $4K |
| B4160 | Ef ped caloric dense>/=0.7kc | 68 | 13 | $2K |
| A6209 | Foam drsg <=16 sq in w/o bdr | 31 | 16 | $205.29 |