NPI: 1356807929 · HUDSON, MA 01749 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/19/2019
| Authorized Official | SILOLAHTI, MELINDA (SVP MANAGED CARE CONTRACTING) |
| NPI Enumeration Date | 02/19/2019 |
Other providers sharing the same authorized official: SILOLAHTI, MELINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| AMERITA, INC. | HOUSTON | TX | $17K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 30 | $568.10 |
| 2023 | 40 | $112.48 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 70 | 37 | $680.58 |