NPI: 1659465151 · SPARTANBURG, SC 29306 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 64 | $680.90 |
| 2020 | 1,653 | $42K |
| 2021 | 5,355 | $152K |
| 2022 | 5,362 | $174K |
| 2023 | 4,554 | $148K |
| 2024 | 3,445 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 4,124 | 4,055 | $143K |
| X1939 | 1,668 | 1,631 | $104K | |
| T4528 | Adult size pull-on xl | 1,280 | 1,260 | $97K |
| T4527 | Adult size pull-on lg | 1,599 | 1,574 | $92K |
| T4535 | Disposable liner/shield/pad | 1,911 | 1,882 | $59K |
| T5999 | Supply, nos | 8,684 | 8,653 | $54K |
| T4526 | Adult size pull-on med | 1,007 | 993 | $49K |
| T4543 | Adult disp brief/diap abv xl | 50 | 50 | $7K |
| T4524 | Adult size brief/diaper xl | 36 | 36 | $6K |
| T4523 | Adult size brief/diaper lg | 41 | 41 | $5K |
| T4522 | Adult size brief/diaper med | 33 | 33 | $3K |