CLINTON DURABLE MEDICAL EQUIPMENT LLC
NPI: 1982132551
· AURORA, CO 80014
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/26/2017
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | WANG, LAN (OWNER) |
| NPI Enumeration Date | 05/26/2017 |
Related Entities
Other providers sharing the same authorized official: WANG, LAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
200 |
$30K |
| 2019 |
222 |
$65K |
| 2020 |
195 |
$52K |
| 2021 |
66 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
572 |
559 |
$160K |
| A4927 |
Gloves, non-sterile, per 100 |
99 |
78 |
$2K |
| A4554 |
Disposable underpads, all sizes |
12 |
12 |
$674.10 |