NPI: 1972532935 · ERIE, CO 80516 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/02/2006
| Authorized Official | ELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS) |
| NPI Enumeration Date | 07/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 309 | $3K |
| 2022 | 204 | $8K |
| 2023 | 28 | $1K |
| 2024 | 25 | $403.37 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1399 | Durable medical equipment, miscellaneous | 52 | 52 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 83 | 81 | $2K |
| 0002A | 53 | 53 | $1K | |
| 0001A | 61 | 61 | $1K | |
| 0004A | 26 | 26 | $988.32 | |
| 90480 | 12 | 12 | $741.24 | |
| 0124A | 13 | 12 | $617.70 | |
| 90686 | 28 | 28 | $478.20 | |
| 90673 | 25 | 12 | $403.37 | |
| 91300 | 200 | 179 | $0.00 | |
| 91312 | 13 | 12 | $0.00 |