NPI: 1720117203 · WEST SACRAMENTO, CA 95691 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,376 | $660K |
| 2019 | 6,417 | $202K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Large disposable underpad | 6,946 | 6,879 | $260K |
| T4535 | Disposable liner/shield/pad | 8,139 | 7,982 | $257K |
| T4527 | Adult size pull-on lg | 2,042 | 2,016 | $110K |
| T4528 | Adult size pull-on xl | 1,138 | 1,136 | $67K |
| T4526 | Adult size pull-on med | 1,440 | 1,430 | $58K |
| T4536 | Reusable pull-on any size | 4,457 | 4,436 | $52K |
| T4523 | Adult size brief/diaper lg | 701 | 689 | $47K |
| T4524 | Adult size brief/diaper xl | 101 | 100 | $6K |
| A4927 | Non-sterile gloves | 816 | 768 | $5K |
| T4537 | Reusable underpad bed size | 13 | 13 | $395.05 |