NPI: 1891032603 · PEARLAND, TX 77584 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/14/2013
| Authorized Official | HEBERT, KEITH (OWNER) |
| NPI Enumeration Date | 01/14/2013 |
Other providers sharing the same authorized official: HEBERT, KEITH
| Provider | City | State | Total Paid |
|---|---|---|---|
| CARE TAKE HOME HEALTH INC | HOUSTON | TX | $1.61M |
| OMNI MEDICAL SUPPLY INC | ROSHARON | TX | $363K |
| APACHE DIAPERS INC | ROSHARON | TX | $99K |
| TRI CARE HOME HEALTH LLC | HOUSTON | TX | $38K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 129 | $12K |
| 2022 | 84 | $9K |
| 2023 | 91 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 193 | 183 | $21K |
| T4541 | Incontinence product, disposable underpad, large, each | 97 | 91 | $6K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 14 | 12 | $118.44 |