NPI: 1306994314 · RICHARDSON, TX 75080 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 689 | $15K |
| 2019 | 645 | $15K |
| 2020 | 447 | $8K |
| 2021 | 406 | $8K |
| 2022 | 375 | $7K |
| 2023 | 341 | $7K |
| 2024 | 195 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 1,229 | 1,218 | $47K |
| T4527 | Adult size pull-on lg | 88 | 88 | $10K |
| A4335 | Incontinence supply | 1,599 | 1,585 | $9K |
| A4253 | Blood glucose/reagent strips | 79 | 78 | $412.80 |
| A4259 | Lancets per box | 79 | 78 | $33.26 |
| A5512 | Multi den insert direct form | 12 | 12 | $0.00 |
| A5500 | Diab shoe for density insert | 12 | 12 | $0.00 |