NPI: 1528023777 · HILO, HI 96720 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 169 | $36K |
| 2019 | 149 | $20K |
| 2020 | 64 | $6K |
| 2021 | 271 | $7K |
| 2022 | 147 | $8K |
| 2023 | 39 | $2K |
| 2024 | 52 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0603 | Electric breast pump | 288 | 284 | $65K |
| E0143 | Walker folding wheeled w/o s | 68 | 68 | $5K |
| T4541 | Large disposable underpad | 278 | 277 | $4K |
| E0114 | Crutch underarm pair no wood | 31 | 31 | $2K |
| 0064A | 48 | 48 | $1K | |
| A6530 | Compression stocking bk18-30 | 43 | 28 | $1K |
| 90715 | 13 | 13 | $456.79 | |
| 0012A | 21 | 21 | $393.12 | |
| 0011A | 19 | 19 | $393.12 | |
| 90471 | 30 | 28 | $346.43 | |
| 0134A | 14 | 14 | $259.92 | |
| A4927 | Non-sterile gloves | 26 | 26 | $110.99 |
| 90472 | 12 | 12 | $73.92 |