NPI: 1255395596 · SAN CLEMENTE, CA 92672 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/13/2006
| Authorized Official | FORBES, LESLIE (VICE PRESIDENT) |
| NPI Enumeration Date | 04/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 55 | $683.19 |
| 2024 | 274 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1161 | Manual adult size wheelchair, includes tilt in space | 78 | 78 | $4K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 85 | 81 | $394.23 |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 84 | 81 | $364.22 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 82 | 79 | $268.80 |