NPI: 1366985863 · BISMARCK, ND 58504 · Customized Equipment (DME) · NPI assigned 12/01/2016
Authorized official JOHNSON, WALTER controls 20+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, WALTER (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 12/01/2016 |
Other providers sharing the same authorized official: JOHNSON, WALTER
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 29 | $863.50 |
| 2022 | 113 | $3K |
| 2023 | 410 | $11K |
| 2024 | 705 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 299 | 182 | $23K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 290 | 177 | $18K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 668 | 544 | $14K |