NPI: 1083166680 · PALMYRA, ME 04965 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/30/2016
Authorized official JOHNSON, WALTER controls 20+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, WALTER (MANAGER OF LICENSURE AND CREDENTIAL) |
| NPI Enumeration Date | 10/30/2016 |
Other providers sharing the same authorized official: JOHNSON, WALTER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 246 | $49K |
| 2019 | 540 | $81K |
| 2020 | 753 | $164K |
| 2021 | 843 | $207K |
| 2022 | 439 | $61K |
| 2023 | 878 | $117K |
| 2024 | 260 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0108 | Wheelchair component or accessory, not otherwise specified | 1,014 | 772 | $252K |
| E1161 | Manual adult size wheelchair, includes tilt in space | 221 | 145 | $220K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 1,381 | 929 | $172K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 751 | 595 | $36K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 246 | 190 | $22K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 124 | 100 | $15K |
| S9999 | Sales tax | 156 | 150 | $4K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 30 | 27 | $2K |
| K0040 | Adjustable angle footplate, each | 12 | 12 | $1K |
| E2213 | Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each | 12 | 12 | $650.64 |
| E2211 | Manual wheelchair accessory, pneumatic propulsion tire, any size, each | 12 | 12 | $369.36 |