NPI: 1154577245 · PRYOR, OK 74361 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/08/2008
| Authorized Official | QUATTEBAUM, BRIAN (OWNER) |
| NPI Enumeration Date | 08/08/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $470.64 |
| 2019 | 196 | $6K |
| 2020 | 78 | $1K |
| 2022 | 111 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 372 | 370 | $14K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 25 | 25 | $151.47 |