NPI: 1417013947 · WEYMOUTH, MA 02188 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,415 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0265 | Hosp bed total electr w/ mat | 492 | 492 | $16K |
| E1390 | Oxygen concentrator | 234 | 234 | $5K |
| K0003 | Lightweight wheelchair | 476 | 476 | $4K |
| E0277 | Powered pres-redu air mattrs | 35 | 35 | $2K |
| K0738 | Portable gas oxygen system | 62 | 62 | $952.27 |
| E1392 | Portable oxygen concentrator | 64 | 64 | $951.84 |
| E0303 | Hosp bed hvy dty xtra wide | 13 | 13 | $851.35 |
| E1391 | Oxygen concentrator, dual | 13 | 13 | $553.83 |
| E0630 | Patient lift hydraulic | 13 | 13 | $363.12 |
| E0431 | Portable gaseous 02 | 13 | 12 | $191.82 |