NPI: 1790871655 · PAPILLION, NE 68046 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/05/2006
| Authorized Official | TIESI, MIKE (SENIOR DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 10/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 163 | $23K |
| 2020 | 734 | $78K |
| 2021 | 3,119 | $172K |
| 2022 | 3,562 | $244K |
| 2023 | 2,372 | $208K |
| 2024 | 598 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0604 | Breast pump, hospital grade, electric (ac and / or dc), any type | 7,806 | 7,707 | $476K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 2,316 | 2,239 | $266K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 358 | 350 | $77K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 68 | 65 | $3K |