NPI: 1902972334 · SIOUX FALLS, SD 57108 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/28/2006
Authorized official DIELEMAN, SANDRA controls 20+ related entities in our dataset. Read more
| Authorized Official | DIELEMAN, SANDRA (PRESIDENT/CEO) |
| NPI Enumeration Date | 11/28/2006 |
Other providers sharing the same authorized official: DIELEMAN, SANDRA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,164 | $284K |
| 2019 | 7,366 | $308K |
| 2020 | 7,995 | $402K |
| 2021 | 11,501 | $546K |
| 2022 | 13,668 | $646K |
| 2023 | 14,195 | $668K |
| 2024 | 11,800 | $598K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 6,444 | 6,069 | $366K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 | 2,682 | 2,099 | $356K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2,453 | 1,904 | $353K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1,327 | 1,248 | $160K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 1,339 | 1,256 | $154K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1,660 | 1,539 | $153K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 1,534 | 1,406 | $148K |
| E0601 | Continuous positive airway pressure (cpap) device | 4,223 | 3,822 | $131K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1,264 | 1,180 | $129K |
| A7030 | Full face mask used with positive airway pressure device, each | 1,896 | 1,719 | $113K |
| A7031 | Face mask interface, replacement for full face mask, each | 2,559 | 2,315 | $107K |
| A4335 | Incontinence supply; miscellaneous | 4,500 | 3,991 | $104K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1,528 | 1,069 | $97K |
| S9977 | Meals, per diem, not otherwise specified | 730 | 639 | $91K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 1,516 | 1,380 | $86K |
| E0570 | Nebulizer, with compressor | 2,803 | 2,621 | $81K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3,048 | 2,778 | $80K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1,039 | 730 | $64K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 570 | 506 | $60K |
| E1392 | Portable oxygen concentrator, rental | 3,417 | 3,246 | $60K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 4,497 | 4,037 | $50K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 75 | 64 | $48K |
| T4541 | Incontinence product, disposable underpad, large, each | 1,246 | 1,169 | $36K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 998 | 674 | $35K |
| K0001 | Standard wheelchair | 2,124 | 1,867 | $35K |
| A7035 | Headgear used with positive airway pressure device | 2,126 | 1,936 | $31K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | 615 | 564 | $29K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 669 | 631 | $28K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 505 | 400 | $28K |
| B9002 | Enteral nutrition infusion pump, any type | 446 | 380 | $27K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 320 | 288 | $23K |
| A7038 | Filter, disposable, used with positive airway pressure device | 3,807 | 3,416 | $22K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 541 | 500 | $20K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 1,034 | 957 | $19K |
| E1161 | Manual adult size wheelchair, includes tilt in space | 121 | 116 | $13K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 121 | 114 | $12K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1,427 | 1,304 | $12K |
| A4927 | Gloves, non-sterile, per 100 | 794 | 708 | $11K |
| 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 | 148 | 113 | $11K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 91 | 85 | $10K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 231 | 218 | $9K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 109 | 86 | $9K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 1,108 | 1,039 | $9K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 604 | 551 | $8K |
| E0776 | Iv pole | 1,325 | 1,253 | $5K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 164 | 150 | $4K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 157 | 149 | $3K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 14 | 12 | $3K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 14 | 12 | $2K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 26 | 24 | $1K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 140 | 136 | $1K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | 192 | 180 | $839.77 |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 66 | 61 | $593.50 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 98 | 89 | $566.89 |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 13 | 12 | $336.69 |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 17 | 12 | $303.66 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 50 | 41 | $184.21 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 15 | 12 | $172.70 |
| A7015 | Aerosol mask, used with dme nebulizer | 72 | 66 | $111.83 |
| A4334 | Urinary catheter anchoring device, leg strap, each | 37 | 36 | $109.73 |