NPI: 1841208709 · FAIR LAWN, NJ 07410 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,694 | $71K |
| 2021 | 6,523 | $298K |
| 2022 | 7,643 | $317K |
| 2023 | 6,476 | $326K |
| 2024 | 6,106 | $331K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 2,624 | 2,600 | $223K |
| A4927 | Non-sterile gloves | 7,176 | 7,061 | $197K |
| A4554 | Disposable underpads | 4,780 | 4,746 | $173K |
| T4526 | Adult size pull-on med | 2,274 | 2,248 | $148K |
| L3216 | Orthoped ladies shoes dpth i | 1,215 | 1,181 | $140K |
| T4528 | Adult size pull-on xl | 1,240 | 1,228 | $127K |
| A6530 | Compression stocking bk18-30 | 1,268 | 1,251 | $123K |
| T4535 | Disposable liner/shield/pad | 4,299 | 3,656 | $100K |
| L3030 | Foot arch support remov prem | 1,619 | 778 | $52K |
| L3221 | Orthopedic mens shoes dpth i | 386 | 375 | $46K |
| L3217 | Ladies shoes hightop depth i | 61 | 60 | $8K |
| A9901 | Delivery/set up/dispensing | 1,500 | 1,407 | $5K |