NPI: 1710219852 · URBANDALE, IA 50322 · Customized Equipment (DME) · NPI assigned 01/30/2010
Authorized official JOHNSON, WALTER controls 20+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, WALTER (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 01/30/2010 |
Other providers sharing the same authorized official: JOHNSON, WALTER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 802 | $37K |
| 2019 | 4,546 | $309K |
| 2020 | 3,206 | $184K |
| 2021 | 2,659 | $135K |
| 2022 | 4,569 | $295K |
| 2023 | 4,814 | $281K |
| 2024 | 3,680 | $261K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0108 | Wheelchair component or accessory, not otherwise specified | 5,805 | 2,307 | $502K |
| E1161 | Manual adult size wheelchair, includes tilt in space | 1,315 | 1,059 | $281K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 6,591 | 3,001 | $240K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 4,368 | 3,446 | $169K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | 2,075 | 1,693 | $75K |
| E1399 | Durable medical equipment, miscellaneous | 127 | 27 | $55K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 1,051 | 667 | $53K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 402 | 344 | $30K |
| K0040 | Adjustable angle footplate, each | 465 | 291 | $22K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 646 | 455 | $20K |
| K0005 | Ultralightweight wheelchair | 14 | 12 | $11K |
| E0956 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | 166 | 86 | $9K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 83 | 64 | $8K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | 511 | 404 | $6K |
| E2620 | Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware | 36 | 28 | $6K |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | 353 | 239 | $4K |
| E0960 | Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware | 45 | 38 | $2K |
| E2392 | Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each | 35 | 32 | $2K |
| E2386 | Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each | 15 | 14 | $2K |
| E2607 | Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth | 14 | 12 | $1K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | 60 | 38 | $956.46 |
| E2394 | Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each | 15 | 13 | $825.54 |
| K0019 | Arm pad, replacement only, each | 70 | 54 | $662.29 |
| K0004 | High strength, lightweight wheelchair | 14 | 12 | $329.16 |