NPI: 1487269551 · GLENDALE, NY 11385 · Customized Equipment (DME) · NPI assigned 09/15/2020
| Authorized Official | CLARKE, ROWAN (DIRECTOR) |
| NPI Enumeration Date | 09/15/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 146 | $166K |
| 2020 | 283 | $471K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4378 | Ostomy pouch, drainable, for use on faceplate, rubber, each | 154 | 124 | $309K |
| A4396 | Ostomy belt with peristomal hernia support | 155 | 124 | $309K |
| A4379 | Ostomy pouch, urinary, with faceplate attached, plastic, each | 71 | 59 | $15K |
| A4380 | Ostomy pouch, urinary, with faceplate attached, rubber, each | 19 | 16 | $1K |
| A4376 | Ostomy pouch, drainable, with faceplate attached, rubber, each | 15 | 15 | $1K |
| A4383 | Ostomy pouch, urinary, for use on faceplate, rubber, each | 15 | 15 | $887.10 |