NPI: 1487154472 · RIVERSIDE, CA 92507 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 02/15/2018
Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSALESI, WENDY (CHIEF COMPLIANCE OFFICER) |
| Parent Organization | VERIO HEALTHCARE, INC |
| NPI Enumeration Date | 02/15/2018 |
Other providers sharing the same authorized official: RUSSALESI, WENDY
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 193 | $54.09 |
| 2020 | 1,225 | $5K |
| 2021 | 143 | $21.09 |
| 2022 | 216 | $1K |
| 2023 | 187 | $727.81 |
| 2024 | 249 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 443 | 440 | $6K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 446 | 432 | $2K |
| T4541 | Incontinence product, disposable underpad, large, each | 415 | 408 | $98.00 |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 182 | 175 | $82.80 |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 85 | 82 | $72.74 |
| A4670 | Automatic blood pressure monitor | 32 | 31 | $58.80 |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 199 | 194 | $32.09 |
| A7035 | Headgear used with positive airway pressure device | 13 | 12 | $28.98 |
| A7038 | Filter, disposable, used with positive airway pressure device | 13 | 13 | $24.18 |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 288 | 278 | $0.00 |
| 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 | 13 | 13 | $0.00 |
| A4927 | Gloves, non-sterile, per 100 | 84 | 82 | $0.00 |