NPI: 1730700816 · GRAHAM, TX 76450 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/30/2020
| Authorized Official | BROWER, BOYD (OWNER) |
| NPI Enumeration Date | 04/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $2K |
| 2022 | 103 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1690 | Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment | 72 | 71 | $19K |
| L0637 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 15 | 15 | $2K |
| L0174 | Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf | 31 | 31 | $575.63 |