NPI: 1780221697 · WEST VALLEY, UT 84119 · Customized Equipment (DME) · NPI assigned 12/10/2019
| Authorized Official | CARLSON, TRAVIS (EMPLOYEE) |
| NPI Enumeration Date | 12/10/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 100 | $75K |
| 2023 | 400 | $210K |
| 2024 | 422 | $189K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0467 | Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions | 906 | 871 | $473K |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | 16 | 13 | $14.85 |