NPI: 1659378404 · WAIPAHU, HI 96797 · 332BC3200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 236 | $3K |
| 2019 | 938 | $29K |
| 2020 | 699 | $14K |
| 2021 | 710 | $10K |
| 2022 | 295 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Large disposable underpad | 1,497 | 1,438 | $22K |
| T4526 | Adult size pull-on med | 175 | 175 | $18K |
| A4927 | Non-sterile gloves | 1,124 | 1,090 | $13K |
| T4522 | Adult size brief/diaper med | 41 | 39 | $4K |
| T4527 | Adult size pull-on lg | 27 | 26 | $3K |
| T4523 | Adult size brief/diaper lg | 14 | 13 | $1K |