FAYETTE MEDICAL SUPPLY, INC.
NPI: 1295790061
· LA GRANGE, TX 78945
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/17/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$920.60 |
| 2021 |
101 |
$6K |
| 2022 |
36 |
$2K |
| 2023 |
36 |
$3K |
Billing Codes
| 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 |
173 |
173 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12 |
12 |
$173.44 |