NPI: 1063903847 · LARGO, FL 33771 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/29/2018
| Authorized Official | GUTIERREZ, MICHELLE (OWNER) |
| NPI Enumeration Date | 05/29/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $534.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 12 | 12 | $534.85 |