NPI: 1346242849 · SULLIVAN CITY, TX 78595 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,444 | $49K |
| 2019 | 2,155 | $90K |
| 2020 | 2,209 | $104K |
| 2021 | 2,288 | $130K |
| 2022 | 1,622 | $83K |
| 2023 | 141 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4528 | Adult size pull-on xl | 801 | 790 | $142K |
| T4527 | Adult size pull-on lg | 881 | 869 | $115K |
| A4554 | Disposable underpads | 3,114 | 3,072 | $109K |
| T4535 | Disposable liner/shield/pad | 1,436 | 1,398 | $53K |
| T4544 | Adlt disp und/pull on abv xl | 101 | 98 | $26K |
| A4335 | Incontinence supply | 3,526 | 3,477 | $19K |