NPI: 1639359284 · CHINO, CA 91710 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 135 | $3K |
| 2019 | 122 | $9K |
| 2020 | 12 | $732.43 |
| 2021 | 12 | $732.43 |
| 2022 | 391 | $24K |
| 2023 | 835 | $79K |
| 2024 | 783 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 231 | 230 | $57K |
| A4322 | Irrigation syringe | 465 | 464 | $47K |
| T4541 | Large disposable underpad | 491 | 491 | $28K |
| B4036 | Enteral feed sup kit grav by | 77 | 77 | $15K |
| A6402 | Sterile gauze <= 16 sq in | 435 | 434 | $10K |
| B9998 | Enteral supp not otherwise c | 52 | 50 | $5K |
| A4657 | Syringe w/wo needle | 24 | 24 | $2K |
| A6250 | Skin seal protect moisturizr | 132 | 132 | $2K |
| A4335 | Incontinence supply | 128 | 128 | $1K |
| A4402 | Lubricant per ounce | 145 | 145 | $699.85 |
| B4160 | Ef ped caloric dense>/=0.7kc | 110 | 110 | $608.99 |