NPI: 1780689430 · DIAMOND SPRINGS, CA 95619 · Oxygen Equipment & Supplies (DME) · NPI assigned 06/19/2005
| Authorized Official | LOUIE, DON (OWNER) |
| NPI Enumeration Date | 06/19/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 25 | 25 | $4K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 24 | 24 | $584.16 |