NPI: 1780739383 · SANTA FE, NM 87505 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 396 | $41K |
| 2019 | 605 | $72K |
| 2020 | 900 | $102K |
| 2021 | 494 | $69K |
| 2022 | 367 | $56K |
| 2023 | 326 | $29K |
| 2024 | 111 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4930 | Sterile, gloves per pair | 2,189 | 2,171 | $340K |
| T4541 | Large disposable underpad | 611 | 606 | $18K |
| T4526 | Adult size pull-on med | 132 | 132 | $13K |
| A4554 | Disposable underpads | 47 | 47 | $9K |
| T4527 | Adult size pull-on lg | 24 | 24 | $2K |
| K0001 | Standard wheelchair | 170 | 167 | $2K |
| S5199 | Personal care item nos each | 26 | 25 | $0.00 |