NPI: 1134350804 · POCATELLO, ID 83201 · 332BX2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $2K |
| 2019 | 157 | $3K |
| 2020 | 14 | $24.40 |
| 2021 | 28 | $50.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A7030 | Cpap full face mask | 16 | 16 | $2K |
| A7031 | Replacement facemask interfa | 67 | 64 | $2K |
| E1390 | Oxygen concentrator | 12 | 12 | $1K |
| A7035 | Pos airway press headgear | 25 | 25 | $402.30 |
| A7037 | Pos airway pressure tubing | 26 | 26 | $318.78 |
| A7038 | Pos airway pressure filter | 133 | 131 | $236.05 |
| A7039 | Filter, non disposable w pap | 27 | 26 | $166.71 |