NPI: 1700104205
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 280 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5063 | Drain ostomy pouch w/flange | 31 | 27 | $1K |
| A4414 | Ost sknbar w/o conv<=4 sq in | 33 | 25 | $1K |
| A4409 | Ost skn barr convex <=4 sq i | 12 | 12 | $995.08 |
| A4357 | Bedside drainage bag | 81 | 64 | $939.98 |
| A4314 | Cath w/drainage 2-way latex | 16 | 12 | $644.36 |
| A5120 | Skin barrier, wipe or swab | 77 | 59 | $462.60 |
| A4406 | Pectin based ostomy paste | 16 | 13 | $130.31 |
| A4452 | Waterproof tape | 14 | 12 | $69.95 |