NPI: 1962647719 · FAIRMONT, WV 26554 · 3336C0004X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $6K |
| 2020 | 251 | $19K |
| 2021 | 188 | $0.00 |
| 2022 | 15 | $0.00 |
| 2023 | 24 | $0.00 |
| 2024 | 66 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4520 | Incontinence garment anytype | 218 | 187 | $24K |
| G0008 | Admin influenza virus vac | 99 | 80 | $741.63 |
| 90653 | 30 | 26 | $393.41 | |
| A4253 | Blood glucose/reagent strips | 14 | 13 | $98.22 |
| 0011A | 75 | 64 | $0.00 | |
| 90480 | 28 | 25 | $0.00 | |
| 0012A | 49 | 39 | $0.00 | |
| 0134A | 15 | 15 | $0.00 | |
| M0201 | Pne flu hepb cov home admin | 17 | 17 | $0.00 |
| 90694 | 15 | 15 | $0.00 | |
| 0003A | 33 | 33 | $0.00 | |
| 0013A | 18 | 18 | $0.00 | |
| 91322 | 28 | 25 | $0.00 |