NPI: 1396166633 · NORTH CHARLESTON, SC 29406 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 98 | $14K |
| 2022 | 67 | $694.02 |
| 2023 | 381 | $6K |
| 2024 | 874 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 375 | 373 | $13K |
| L0650 | Lso sc r ant/pos pnl pre ots | 12 | 12 | $13K |
| T5999 | Supply, nos | 922 | 911 | $10K |
| T4534 | Youth size pull-on | 13 | 12 | $2K |
| E0730 | Tens four lead | 72 | 72 | $1K |
| T4527 | Adult size pull-on lg | 12 | 12 | $686.40 |
| A4595 | Tens suppl 2 lead per month | 14 | 14 | $89.20 |