NPI: 1710165113 · CALUMET PARK, IL 60827 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/07/2008
| Authorized Official | UDOETUK, EME (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 02/07/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 543 | $51K |
| 2019 | 664 | $64K |
| 2020 | 1,413 | $77K |
| 2021 | 629 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 687 | 661 | $133K |
| T4541 | Incontinence product, disposable underpad, large, each | 880 | 872 | $48K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 878 | 862 | $35K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 140 | 138 | $26K |
| A4930 | Gloves, sterile, per pair | 664 | 664 | $21K |