NPI: 1568521961 · MORRISVILLE, NC 27560 · Case Management Agency · NPI assigned 12/08/2006
| Authorized Official | MILES, MARCELLETTA (VICE PRESIDENT OF CLINICAL AFFAIRS) |
| NPI Enumeration Date | 12/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 71 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 71 | 64 | $31K |