NPI: 1992958417 · RALEIGH, NC 27609 · Durable Medical Equipment & Medical Supplies
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 291 | $5K |
| 2019 | 661 | $13K |
| 2020 | 629 | $15K |
| 2021 | 309 | $8K |
| 2022 | 341 | $9K |
| 2023 | 143 | $3K |
| 2024 | 384 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4157 | Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 158 | 157 | $85K |
| A4927 | Gloves, non-sterile, per 100 | 1,890 | 1,797 | $39K |
| A4554 | Disposable underpads, all sizes | 710 | 682 | $19K |