NPI: 1982085767
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,144 | $196K |
| 2019 | 4,128 | $125K |
| 2020 | 1,359 | $37K |
| 2021 | 1,130 | $25K |
| 2022 | 603 | $12K |
| 2023 | 155 | $2K |
| 2024 | 76 | $564.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4554 | Disposable underpads | 3,425 | 3,057 | $117K |
| T4528 | Adult size pull-on xl | 797 | 761 | $56K |
| X1939 | 837 | 831 | $53K | |
| T5999 | Supply, nos | 6,217 | 5,259 | $50K |
| T4527 | Adult size pull-on lg | 739 | 729 | $37K |
| X1922 | 163 | 125 | $23K | |
| T4526 | Adult size pull-on med | 484 | 460 | $22K |
| A4927 | Non-sterile gloves | 413 | 377 | $11K |
| T2028 | Special supply, nos waiver | 76 | 59 | $10K |
| T4535 | Disposable liner/shield/pad | 346 | 321 | $10K |
| T4534 | Youth size pull-on | 86 | 72 | $8K |
| T4525 | Adult size pull-on sm | 12 | 12 | $775.20 |