NPI: 1609370246
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 775 | $73K |
| 2019 | 240 | $47K |
| 2020 | 33 | $5K |
| 2021 | 51 | $3K |
| 2022 | 27 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4160 | Ef ped caloric dense>/=0.7kc | 608 | 514 | $105K |
| B4161 | Ef ped hydrolyzed/amino acid | 74 | 59 | $12K |
| B4035 | Enteral feed supp pump per d | 115 | 99 | $7K |
| B9998 | Enteral supp not otherwise c | 113 | 65 | $4K |
| B4158 | Ef ped complete intact nut | 15 | 13 | $1K |
| E1390 | Oxygen concentrator | 27 | 27 | $1K |
| A6402 | Sterile gauze <= 16 sq in | 46 | 41 | $213.04 |
| E0431 | Portable gaseous 02 | 14 | 14 | $81.78 |
| S8189 | Trach supply noc | 40 | 15 | $71.28 |
| A4213 | 20+ cc syringe only | 17 | 13 | $62.95 |
| A4927 | Non-sterile gloves | 12 | 12 | $26.02 |
| B9002 | Enter nutr inf pump any type | 18 | 12 | $24.48 |
| A4210 | Nonneedle injection device | 27 | 25 | $7.11 |