NPI: 1619266491 · KENTWOOD, MI 49508 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/01/2011
| Authorized Official | ZYLSTRA, BRIAN (PRESIDENT) |
| NPI Enumeration Date | 04/01/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 328 | $37K |
| 2023 | 682 | $95K |
| 2024 | 751 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1,717 | 1,682 | $235K |
| S5199 | Personal care item, nos, each | 44 | 41 | $2K |