NPI: 1851649834 · WAIPAHU, HI 96797 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 636 | $619.00 |
| 2020 | 1,331 | $0.00 |
| 2024 | 32 | $526.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Large disposable underpad | 843 | 809 | $628.50 |
| A4927 | Non-sterile gloves | 763 | 733 | $517.00 |
| T4523 | Adult size brief/diaper lg | 97 | 97 | $0.00 |
| T4526 | Adult size pull-on med | 104 | 102 | $0.00 |
| T4527 | Adult size pull-on lg | 116 | 116 | $0.00 |
| T4524 | Adult size brief/diaper xl | 25 | 24 | $0.00 |
| T4522 | Adult size brief/diaper med | 51 | 51 | $0.00 |