NPI: 1417001272 · CLEVELAND, OK 74020 · 332BP3500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,170 | $247K |
| 2019 | 3,009 | $230K |
| 2020 | 2,927 | $217K |
| 2021 | 1,950 | $139K |
| 2022 | 1,572 | $122K |
| 2023 | 1,531 | $119K |
| 2024 | 1,271 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4535 | Disposable liner/shield/pad | 5,600 | 5,265 | $321K |
| T4527 | Adult size pull-on lg | 2,323 | 2,179 | $267K |
| T4528 | Adult size pull-on xl | 1,563 | 1,475 | $185K |
| T4526 | Adult size pull-on med | 1,906 | 1,795 | $158K |
| T4541 | Large disposable underpad | 2,954 | 2,792 | $117K |
| T4543 | Adult disp brief/diap abv xl | 438 | 410 | $75K |
| T1999 | Noc retail items andsupplies | 238 | 211 | $36K |
| A4927 | Non-sterile gloves | 277 | 237 | $5K |
| T4542 | Small disposable underpad | 78 | 76 | $2K |
| A7003 | Nebulizer administration set | 35 | 35 | $131.57 |
| A7015 | Aerosol mask used w nebulize | 18 | 18 | $25.02 |