NPI: 1386625457 · PINETOP, AZ 85935 · Oxygen Equipment & Supplies (DME) · NPI assigned 11/07/2005
| Authorized Official | CHURCH, RUSSELL (OWNER) |
| NPI Enumeration Date | 11/07/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 293 | $17K |
| 2019 | 165 | $8K |
| 2020 | 755 | $41K |
| 2021 | 472 | $25K |
| 2022 | 396 | $20K |
| 2023 | 461 | $20K |
| 2024 | 371 | $17K |
| 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 | 1,497 | 1,494 | $125K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1,334 | 1,333 | $19K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | 57 | 57 | $4K |
| K0001 | Standard wheelchair | 25 | 25 | $844.55 |