NPI: 1861725368 · WEST COVINA, CA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 58 | $1K |
| 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 | 32 | 32 | $552.50 |
| K0001 | Standard wheelchair | 14 | 14 | $485.62 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 12 | 12 | $3.40 |