MYTREX INC
NPI: 1295857506
· SOUTH JORDAN, UT 84095
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/06/2007
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | LARSEN, REO (CONTROLLER) |
| NPI Enumeration Date | 04/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,282 |
$26K |
| 2019 |
1,279 |
$28K |
| 2020 |
1,213 |
$34K |
| 2021 |
1,250 |
$36K |
| 2022 |
1,232 |
$35K |
| 2023 |
1,215 |
$33K |
| 2024 |
966 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
8,437 |
7,880 |
$219K |