NPI: 1942575659 · FAYETTEVILLE, TN 37334 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/13/2012
| Authorized Official | MARBUT, BRANDON (GENERAL MANAGER) |
| NPI Enumeration Date | 03/13/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0631 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 14 | 14 | $3K |