NPI: 1881098424 · BROOKLYN CENTER, MN 55429 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 61 | $3K |
| 2021 | 271 | $13K |
| 2022 | 716 | $40K |
| 2023 | 1,613 | $94K |
| 2024 | 1,772 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4526 | Adult size pull-on med | 1,185 | 1,178 | $114K |
| T4541 | Large disposable underpad | 1,244 | 1,236 | $58K |
| T4527 | Adult size pull-on lg | 369 | 359 | $35K |
| A4927 | Non-sterile gloves | 928 | 920 | $23K |
| T2029 | Special med equip, noswaiver | 383 | 250 | $14K |
| T4535 | Disposable liner/shield/pad | 299 | 295 | $13K |
| A4670 | Automatic bp monitor, dial | 25 | 25 | $2K |