NPI: 1740425933 · TYLER, TX 75703 · Oxygen Equipment & Supplies (DME) · NPI assigned 12/03/2008
| Authorized Official | STURDIVANT, JUDSON (OWNER) |
| NPI Enumeration Date | 12/03/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 118 | $1K |
| 2019 | 169 | $2K |
| 2022 | 132 | $422.58 |
| 2023 | 91 | $936.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 170 | 170 | $2K |
| E0570 | Nebulizer, with compressor | 152 | 126 | $1K |
| K0001 | Standard wheelchair | 117 | 117 | $685.34 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 42 | 38 | $54.64 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | 29 | 26 | $6.05 |