NPI: 1760954929 · LITTLE ROCK, AR 72209 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/27/2018
| Authorized Official | IVORY, WILLIAM (OWNER) |
| NPI Enumeration Date | 12/27/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 175 | $763.96 |
| 2020 | 576 | $8K |
| 2021 | 781 | $13K |
| 2022 | 778 | $2K |
| 2024 | 34 | $284K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 34 | 25 | $284K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 438 | 347 | $10K |
| A4554 | Disposable underpads, all sizes | 549 | 453 | $10K |
| A4927 | Gloves, non-sterile, per 100 | 1,006 | 866 | $4K |
| A5120 | Skin barrier, wipes or swabs, each | 317 | 230 | $242.00 |