NPI: 1043225626 · STAFFORD, TX 77477 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 58 | $2K |
| 2021 | 96 | $2K |
| 2022 | 349 | $3K |
| 2023 | 380 | $4K |
| 2024 | 186 | $897.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A7031 | Replacement facemask interfa | 235 | 231 | $5K |
| E1390 | Oxygen concentrator | 44 | 42 | $2K |
| A7038 | Pos airway pressure filter | 711 | 655 | $2K |
| E0143 | Walker folding wheeled w/o s | 12 | 12 | $684.48 |
| K0001 | Standard wheelchair | 55 | 51 | $450.76 |
| E0431 | Portable gaseous 02 | 12 | 12 | $74.12 |