NPI: 1629364799 · STILLWATER, MN 55082 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,437 | $841K |
| 2019 | 20,766 | $857K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4535 | Disposable liner/shield/pad | 10,262 | 7,624 | $388K |
| T4527 | Adult size pull-on lg | 4,222 | 3,161 | $299K |
| T4526 | Adult size pull-on med | 4,889 | 3,715 | $295K |
| T4528 | Adult size pull-on xl | 3,275 | 2,485 | $229K |
| A4554 | Disposable underpads | 6,962 | 5,573 | $147K |
| A4927 | Non-sterile gloves | 5,911 | 4,422 | $123K |
| A6250 | Skin seal protect moisturizr | 5,978 | 4,554 | $92K |
| T4544 | Adlt disp und/pull on abv xl | 642 | 524 | $58K |
| B4150 | Ef complet w/intact nutrient | 364 | 307 | $34K |
| T4525 | Adult size pull-on sm | 590 | 443 | $19K |
| B4152 | Ef calorie dense>/=1.5kcal | 87 | 86 | $12K |
| T4523 | Adult size brief/diaper lg | 21 | 15 | $1K |