NPI: 1346332970 · ROCK SPRINGS, WY 82901 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 298 | $54K |
| 2019 | 350 | $60K |
| 2020 | 351 | $48K |
| 2021 | 1,173 | $102K |
| 2022 | 1,506 | $110K |
| 2023 | 1,266 | $125K |
| 2024 | 1,153 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 2,750 | 2,113 | $397K |
| A4223 | Infusion supplies w/o pump | 846 | 377 | $92K |
| B9002 | Enter nutr inf pump any type | 435 | 379 | $27K |
| B4152 | Ef calorie dense>/=1.5kcal | 1,027 | 582 | $25K |
| B4088 | Gastro/jejuno tube, low-pro | 164 | 131 | $17K |
| B4034 | Enter feed supkit syr by day | 102 | 81 | $11K |
| A4927 | Non-sterile gloves | 677 | 511 | $7K |
| B9998 | Enteral supp not otherwise c | 30 | 24 | $3K |
| A4221 | Supp non-insulin inf cath/wk | 66 | 40 | $2K |