EDEN MEDICAL SUPPLY, LLC
NPI: 1598381212
· BOCA RATON, FL 33487
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2020
Deactivated NPI
· This NPI was deactivated on 06/02/2021. Reactivated 07/12/2021.
Provider Details
| Authorized Official | MASCIARELLA, MICHAEL (DIRECTOR OF BUSINESS DEVELOPMENT/CE) |
| NPI Enumeration Date | 06/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
397 |
$11K |
| 2024 |
528 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
925 |
867 |
$32K |