NPI: 1568695476 · MOUNTLAKE TERRACE, WA 98043 · Customized Equipment (DME) · NPI assigned 08/25/2009
Authorized official MATUKEWICZ, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | MATUKEWICZ, JEFFREY (SECRETARY) |
| NPI Enumeration Date | 08/25/2009 |
Other providers sharing the same authorized official: MATUKEWICZ, JEFFREY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,815 | $663K |
| 2019 | 3,276 | $1.38M |
| 2020 | 2,286 | $955K |
| 2021 | 118 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1161 | Manual adult size wheelchair, includes tilt in space | 580 | 550 | $1.46M |
| E2615 | Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware | 558 | 546 | $242K |
| E2607 | Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth | 810 | 792 | $223K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 909 | 848 | $221K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 1,022 | 976 | $182K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 773 | 740 | $136K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 702 | 399 | $133K |
| K0005 | Ultralightweight wheelchair | 47 | 47 | $107K |
| E2231 | Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware | 435 | 425 | $73K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 789 | 757 | $73K |
| E2620 | Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware | 131 | 129 | $66K |
| E2203 | Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches | 85 | 85 | $45K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | 80 | 79 | $33K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 315 | 305 | $30K |
| K0004 | High strength, lightweight wheelchair | 26 | 25 | $12K |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | 175 | 171 | $6K |
| E2608 | Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth | 13 | 13 | $4K |
| K0040 | Adjustable angle footplate, each | 19 | 14 | $2K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | 26 | 26 | $1K |