NPI: 1730266883 · LOS ANGELES, CA 90057 · 314000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,491 | $99K |
| 2019 | 760 | $61K |
| 2021 | 403 | $18K |
| 2022 | 262 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4216 | Sterile water/saline, 10 ml | 881 | 775 | $89K |
| A6402 | Sterile gauze <= 16 sq in | 901 | 787 | $46K |
| A4629 | Tracheostomy care kit | 190 | 162 | $16K |
| A4623 | Tracheostomy inner cannula | 205 | 175 | $12K |
| A4452 | Waterproof tape | 440 | 390 | $11K |
| A7526 | Tracheostomy tube collar | 175 | 150 | $6K |
| A7503 | Hmes filter holder or cap | 14 | 13 | $1K |
| A6219 | Gauze <= 16 sq in w/border | 53 | 43 | $1K |
| A7521 | Trach/laryn tube cuffed | 12 | 12 | $445.49 |
| A6220 | Gauze >16 <=48 sq in w/bordr | 13 | 12 | $414.91 |
| A4450 | Non-waterproof tape | 32 | 25 | $216.49 |