NPI: 1477980811 · LAUREL, MS 39440 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/30/2013
| Authorized Official | WILSON, TRACY (OWNER) |
| NPI Enumeration Date | 09/30/2013 |
Other providers sharing the same authorized official: WILSON, TRACY
| Provider | City | State | Total Paid |
|---|---|---|---|
| CAMINO REAL COMMUNITY MHMR CENTER | LYTLE | TX | $10.82M |
| CAMINO REAL COMMUNITY MHMR CENTER | LYTLE | TX | $6.77M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 12 | 12 | $4K |