NPI: 1598202202
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,028 | $278K |
| 2019 | 9,214 | $264K |
| 2020 | 8,830 | $269K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 5,101 | 4,848 | $162K |
| X1939 | 2,292 | 2,233 | $142K | |
| T4528 | Adult size pull-on xl | 1,775 | 1,683 | $116K |
| T4527 | Adult size pull-on lg | 2,115 | 2,000 | $107K |
| T5999 | Supply, nos | 10,322 | 9,498 | $73K |
| T4526 | Adult size pull-on med | 1,223 | 1,111 | $63K |
| T4535 | Disposable liner/shield/pad | 1,783 | 1,712 | $51K |
| T4543 | Adult disp brief/diap abv xl | 170 | 161 | $21K |
| T4525 | Adult size pull-on sm | 311 | 295 | $18K |
| T4534 | Youth size pull-on | 158 | 156 | $18K |
| X1915 | 134 | 117 | $11K | |
| A4927 | Non-sterile gloves | 1,381 | 968 | $10K |
| T4523 | Adult size brief/diaper lg | 105 | 86 | $5K |
| T2028 | Special supply, nos waiver | 46 | 46 | $5K |
| T4522 | Adult size brief/diaper med | 94 | 65 | $4K |
| T4524 | Adult size brief/diaper xl | 62 | 62 | $4K |