NPI: 1841559424 · DRAPER, UT 84020 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,129 | $191K |
| 2019 | 2,914 | $141K |
| 2020 | 2,226 | $100K |
| 2021 | 1,181 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 4,836 | 2,273 | $380K |
| B4150 | Ef complet w/intact nutrient | 1,943 | 740 | $53K |
| B4152 | Ef calorie dense>/=1.5kcal | 770 | 354 | $25K |
| A7526 | Tracheostomy tube collar | 756 | 687 | $16K |
| B4154 | Ef spec metabolic noninherit | 131 | 66 | $13K |
| B4153 | Ef hydrolyzed/amino acids | 154 | 131 | $12K |
| A4629 | Tracheostomy care kit | 574 | 518 | $3K |
| A4314 | Cath w/drainage 2-way latex | 114 | 96 | $147.41 |
| A4623 | Tracheostomy inner cannula | 85 | 74 | $137.26 |
| A7521 | Trach/laryn tube cuffed | 14 | 13 | $59.48 |
| A4334 | Urinary cath leg strap | 27 | 27 | $0.00 |
| A4357 | Bedside drainage bag | 46 | 43 | $0.00 |