NPI: 1578032579 · FOUNTAIN INN, SC 29644 · In Home Supportive Care Agency · NPI assigned 11/19/2018
| Authorized Official | SIMMONS, DEBBIE (ADMINISTRATOR) |
| NPI Enumeration Date | 11/19/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 129 | $2K |
| 2020 | 465 | $8K |
| 2021 | 757 | $13K |
| 2022 | 613 | $12K |
| 2023 | 607 | $11K |
| 2024 | 744 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 1,288 | 1,281 | $43K |
| T5999 | Supply, not otherwise specified | 1,910 | 1,902 | $12K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 91 | 90 | $3K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 12 | 12 | $825.60 |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 14 | 13 | $739.20 |