NPI: 1316999568 · SYRACUSE, NY 13211 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,796 | $64K |
| 2019 | 2,805 | $95K |
| 2020 | 408 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1161 | Manual adult wc w tiltinspac | 821 | 818 | $64K |
| K0739 | Repair/svc dme non-oxygen eq | 1,286 | 1,231 | $43K |
| K0108 | W/c component-accessory nos | 343 | 251 | $30K |
| K0823 | Pwc gp 2 std cap chair | 351 | 343 | $16K |
| E0955 | Cushioned headrest | 793 | 786 | $13K |
| K0040 | Adjustable angle footplate | 166 | 128 | $6K |
| E1028 | W/c manual swingaway | 1,097 | 874 | $5K |
| E0971 | Wheelchair anti-tipping devi | 59 | 42 | $1K |
| E0973 | W/ch access det adj armrest | 46 | 28 | $1K |
| E2213 | Pneumatic prop tire insert | 24 | 14 | $302.03 |
| E0961 | Wheelchair brake extension | 23 | 13 | $131.34 |