NPI: 1629397666 · FARMINGTON, MO 63640 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 125 | $6K |
| 2019 | 231 | $13K |
| 2020 | 194 | $7K |
| 2021 | 765 | $22K |
| 2022 | 1,069 | $31K |
| 2023 | 1,214 | $31K |
| 2024 | 2,416 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator | 2,774 | 2,428 | $65K |
| E0431 | Portable gaseous 02 | 1,714 | 1,488 | $51K |
| T4527 | Adult size pull-on lg | 330 | 243 | $21K |
| E0601 | Cont airway pressure device | 325 | 277 | $4K |
| A7031 | Replacement facemask interfa | 208 | 144 | $3K |
| A7038 | Pos airway pressure filter | 555 | 404 | $2K |
| T4528 | Adult size pull-on xl | 15 | 12 | $927.26 |
| A7030 | Cpap full face mask | 18 | 14 | $536.59 |
| A4604 | Tubing with heating element | 30 | 24 | $242.50 |
| A4253 | Blood glucose/reagent strips | 16 | 13 | $90.58 |
| E1392 | Portable oxygen concentrator | 13 | 13 | $67.82 |
| A4259 | Lancets per box | 16 | 13 | $7.09 |