NPI: 1154891398 · KNOXVILLE, TN 37917 · Customized Equipment (DME) · NPI assigned 11/30/2018
Authorized official JOHNSON, WALTER controls 20+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, WALTER (CREDENTIALING AND LICENSURE MANAGER) |
| NPI Enumeration Date | 11/30/2018 |
Other providers sharing the same authorized official: JOHNSON, WALTER
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,241 | $42K |
| 2020 | 4,407 | $165K |
| 2021 | 5,140 | $294K |
| 2022 | 4,908 | $335K |
| 2023 | 5,482 | $456K |
| 2024 | 2,865 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0108 | Wheelchair component or accessory, not otherwise specified | 6,496 | 1,851 | $475K |
| E1399 | Durable medical equipment, miscellaneous | 861 | 179 | $254K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 5,369 | 2,453 | $226K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 4,853 | 3,022 | $124K |
| E1161 | Manual adult size wheelchair, includes tilt in space | 195 | 154 | $103K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 1,070 | 762 | $102K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 1,638 | 1,002 | $81K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 962 | 426 | $34K |
| E2609 | Custom fabricated wheelchair seat cushion, any size | 25 | 12 | $25K |
| E0960 | Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware | 469 | 265 | $23K |
| K0040 | Adjustable angle footplate, each | 270 | 131 | $15K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | 881 | 548 | $13K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 303 | 172 | $11K |
| E2392 | Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each | 325 | 167 | $11K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 28 | 15 | $3K |
| E0956 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | 41 | 12 | $2K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | 29 | 29 | $2K |
| E2394 | Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each | 35 | 24 | $989.78 |
| K0019 | Arm pad, replacement only, each | 112 | 42 | $534.14 |
| E2386 | Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each | 30 | 12 | $494.70 |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | 35 | 13 | $218.13 |
| K0816 | Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds | 16 | 12 | $35.17 |