NPI: 1285952663 · MISSION, TX 78572 · 332BP3500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,840 | $220K |
| 2019 | 4,561 | $188K |
| 2020 | 780 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 1,016 | 1,015 | $110K |
| A4554 | Disposable underpads | 2,638 | 2,638 | $104K |
| T4535 | Disposable liner/shield/pad | 2,288 | 2,288 | $93K |
| T4528 | Adult size pull-on xl | 455 | 455 | $67K |
| T4526 | Adult size pull-on med | 500 | 500 | $45K |
| A4335 | Incontinence supply | 3,269 | 3,269 | $19K |
| A4670 | Automatic bp monitor, dial | 15 | 15 | $934.50 |