NPI: 1871578815 · CHESTERBROOK, PA 19087 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 617 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4230 | Infus insulin pump non needl | 243 | 222 | $29K |
| A4232 | Syringe w/needle insulin 3cc | 174 | 160 | $7K |
| E0784 | Ext amb infusn pump insulin | 38 | 36 | $7K |
| K0552 | Sup/ext non-ins inf pump syr | 66 | 58 | $2K |
| A4231 | Infusion insulin pump needle | 22 | 18 | $2K |
| A4221 | Supp non-insulin inf cath/wk | 24 | 13 | $871.81 |
| A6257 | Transparent film <= 16 sq in | 13 | 13 | $396.45 |
| A4225 | Sup/ext insulin inf pump syr | 15 | 12 | $190.86 |
| A5120 | Skin barrier, wipe or swab | 22 | 21 | $153.33 |