NPI: 1174094163 · NORTH LAS VEGAS, NV 89032 · 332BC3200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 173 | $84K |
| 2021 | 100 | $8K |
| 2022 | 49 | $4K |
| 2023 | 59 | $6K |
| 2024 | 14 | $785.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1007 | Pwr seat combo w/shear | 14 | 12 | $57K |
| E1028 | W/c manual swingaway | 235 | 98 | $19K |
| E2311 | Electro connect btw 2 sys | 14 | 12 | $15K |
| E0955 | Cushioned headrest | 60 | 51 | $4K |
| E2377 | Expandable controller, initl | 14 | 12 | $3K |
| E2313 | Pwc harness, expand control | 14 | 12 | $2K |
| K0739 | Repair/svc dme non-oxygen eq | 44 | 37 | $2K |