NPI: 1952301608 · SAN ANTONIO, TX 78247 · Customized Equipment (DME) · NPI assigned 07/22/2005
| Authorized Official | MCCORMICK, SHAWN (OWNER) |
| NPI Enumeration Date | 07/22/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 27 | $94.98 |
| 2020 | 120 | $937.98 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| K0001 | Standard wheelchair | 111 | 111 | $656.78 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 12 | 12 | $303.89 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 12 | 12 | $60.98 |
| E0570 | Nebulizer, with compressor | 12 | 12 | $11.31 |