NPI: 1932718244 · SPRING VALLEY, NY 10977 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 345 | $2K |
| 2024 | 101 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator | 143 | 139 | $2K |
| E0295 | Hosp bed semi-elect w/o matt | 173 | 152 | $729.97 |
| A4216 | Sterile water/saline, 10 ml | 13 | 12 | $238.40 |
| A4253 | Blood glucose/reagent strips | 55 | 55 | $148.15 |
| A6402 | Sterile gauze <= 16 sq in | 30 | 28 | $40.38 |
| A4258 | Lancet device each | 32 | 28 | $2.97 |