NPI: 1831302850 · LOS ANGELES, CA 90036 · Oxygen Equipment & Supplies (DME) · NPI assigned 05/07/2007
| Authorized Official | KAGANOVSKY, LANA (PRESIDENT) |
| NPI Enumeration Date | 05/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 198 | $580.23 |
| 2024 | 68 | $418.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0003 | Lightweight wheelchair | 114 | 114 | $895.87 |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | 75 | 75 | $94.50 |
| E0156 | Seat attachment, walker | 13 | 13 | $8.44 |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 32 | 16 | $0.00 |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 32 | 16 | $0.00 |