NPI: 1831443456 · CHARLOTTE, NC
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 52 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4157 | Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 25 | 25 | $13K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 14 | 14 | $2K |
| A4259 | Lancets, per box of 100 | 13 | 13 | $167.16 |