NPI: 1487654828 · BEATRICE, NE 68310 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 161 | $10K |
| 2019 | 103 | $3K |
| 2020 | 78 | $8K |
| 2021 | 46 | $0.00 |
| 2022 | 39 | $3.78 |
| 2023 | 191 | $3K |
| 2024 | 179 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4528 | Adult size pull-on xl | 78 | 76 | $9K |
| T4527 | Adult size pull-on lg | 67 | 67 | $8K |
| E0601 | Cont airway pressure device | 133 | 125 | $4K |
| E0562 | Humidifier heated used w pap | 173 | 162 | $2K |
| T4526 | Adult size pull-on med | 12 | 12 | $2K |
| T4535 | Disposable liner/shield/pad | 73 | 65 | $1K |
| E0570 | Nebulizer with compression | 26 | 26 | $510.95 |
| A7038 | Pos airway pressure filter | 27 | 26 | $49.34 |
| 90686 | 29 | 29 | $7.38 | |
| 90662 | 15 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 124 | 120 | $0.00 |
| 90688 | 40 | 39 | $0.00 |