INTERIOR MEDICAL SUPPLY LLC
NPI: 1295805810
· FAIRBANKS, AK 99701
· 332B00000X
$948K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,721 |
$563K |
| 2019 |
7,302 |
$385K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1999 |
Noc retail items andsupplies |
3,854 |
3,630 |
$211K |
| T4535 |
Disposable liner/shield/pad |
1,813 |
1,717 |
$136K |
| T4541 |
Large disposable underpad |
1,804 |
1,729 |
$95K |
| T4537 |
Reusable underpad bed size |
1,709 |
1,613 |
$95K |
| T4527 |
Adult size pull-on lg |
607 |
560 |
$91K |
| T4534 |
Youth size pull-on |
729 |
662 |
$87K |
| T4526 |
Adult size pull-on med |
462 |
433 |
$57K |
| T4528 |
Adult size pull-on xl |
329 |
305 |
$49K |
| A9999 |
Dme supply or accessory, nos |
1,115 |
943 |
$44K |
| A4927 |
Non-sterile gloves |
1,715 |
1,592 |
$36K |
| A6250 |
Skin seal protect moisturizr |
2,047 |
1,218 |
$25K |
| A4335 |
Incontinence supply |
1,781 |
1,111 |
$20K |
| A4604 |
Tubing with heating element |
14 |
13 |
$522.32 |
| A7038 |
Pos airway pressure filter |
44 |
38 |
$169.64 |