NPI: 1477061554 · EAGLE PASS, TX 78852 · 332BP3500X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 825 | $31K |
| 2020 | 2,124 | $104K |
| 2021 | 1,706 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 658 | 658 | $96K |
| A4554 | Disposable underpads | 1,585 | 1,584 | $58K |
| T4526 | Adult size pull-on med | 147 | 147 | $18K |
| T4528 | Adult size pull-on xl | 101 | 101 | $17K |
| T4535 | Disposable liner/shield/pad | 390 | 388 | $15K |
| A4335 | Incontinence supply | 1,592 | 1,591 | $9K |
| K0001 | Standard wheelchair | 182 | 182 | $2K |