LIFE SUPPLY CORPORATION

NPI: 1891856506 · LEOMINSTER, MA 01453 · Oxygen Equipment & Supplies (DME) · NPI assigned 12/13/2006

$155.98

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2019-09

First Month

2019-11

Last Month

Provider Details

Authorized Official	SMITH, JOSEPH (CEO PRESIDEN)
NPI Enumeration Date	12/13/2006

Other providers sharing the same authorized official: SMITH, JOSEPH

Provider	City	State	Total Paid
BOONE COUNTY AMBULANCE AUTHORITY	RACINE	WV	$5.95M
LIFE SUPPLY CORP	LUDLOW	MA	$4.11M
LONG BEACH REACH INC.	LONG BEACH	NY	$3.40M
PREMIER PEDIATRICS, INC	BRIGHTON	CO	$2.71M
TECHNICAL GAS PRODUCTS, INC	HILLIARD	OH	$525K
TECHNICAL GAS PRODUCTS INC	HOPKINTON	MA	$461K
COMMONWEALTH INTEGRITY PAIN CENTER PLLC	LEXINGTON	KY	$198K
ALL AMERICAN PODIATRY AND WOUND CARE, P.C.	VIRGINIA BEACH	VA	$98K
JOSEPH R SMITH,II, DDS,PA	BETHEL	NC	$18K
MILAGRO VEIN SOLUTIONS LLC	SANTA FE	NM	$6K

Year	Claims	Total Paid
2019	24	$155.98

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	24	24	$155.98