NPI: 1710115365 · HERMISTON, OR 97838 · 261QS1200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 227 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 51 | 50 | $6K |
| A7030 | Cpap full face mask | 17 | 17 | $2K |
| A7031 | Replacement facemask interfa | 43 | 43 | $2K |
| A4604 | Tubing with heating element | 17 | 17 | $868.53 |
| A7035 | Pos airway press headgear | 16 | 16 | $486.24 |
| A7038 | Pos airway pressure filter | 43 | 43 | $346.92 |
| A7036 | Pos airway press chinstrap | 14 | 14 | $194.74 |
| A7046 | Repl water chamber, pap dev | 13 | 13 | $193.96 |
| A7039 | Filter, non disposable w pap | 13 | 13 | $152.36 |