NPI: 1124442058 · MIDWEST CITY, OK 73130 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $52.96 |
| 2022 | 357 | $10K |
| 2023 | 1,190 | $41K |
| 2024 | 919 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0601 | Cont airway pressure device | 1,062 | 1,035 | $51K |
| E0562 | Humidifier heated used w pap | 1,041 | 1,041 | $20K |
| A7035 | Pos airway press headgear | 153 | 152 | $3K |
| E0470 | Rad w/o backup non-inv intfc | 25 | 24 | $3K |
| A7030 | Cpap full face mask | 14 | 14 | $961.70 |
| A7038 | Pos airway pressure filter | 172 | 171 | $626.09 |
| A4604 | Tubing with heating element | 13 | 12 | $123.04 |