NPI: 1932526456 · MONTCLAIR, CA 91763 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 53 | $4K |
| 2020 | 169 | $24K |
| 2022 | 533 | $39K |
| 2023 | 900 | $69K |
| 2024 | 1,052 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Large disposable underpad | 1,266 | 1,262 | $81K |
| T4526 | Adult size pull-on med | 492 | 489 | $43K |
| T4535 | Disposable liner/shield/pad | 414 | 414 | $40K |
| T4527 | Adult size pull-on lg | 330 | 329 | $35K |
| L0650 | Lso sc r ant/pos pnl pre ots | 33 | 33 | $11K |
| T4528 | Adult size pull-on xl | 86 | 86 | $8K |
| L1971 | Afo w/ankle joint, prefab | 47 | 24 | $6K |
| K0003 | Lightweight wheelchair | 27 | 27 | $623.88 |
| A4927 | Non-sterile gloves | 12 | 12 | $179.98 |